Samuel Fahey Gagnon

NPI #1982310074 in Lowell, Massachusetts

Provider Information

NPI Number
1982310074
Entity Type
Individual
Name
Samuel Fahey Gagnon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 23, 2023
Last Updated
Jan 23, 2023

Practice Location

Address
65 TOLMAN AVE
City
Lowell
ZIP Code
01854-2229
Phone
(603) 401-1824

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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