Most Relevant Information
Provider Data
| NPI Number: | 1003551656 |
| Provider Name: | MARC DAVID LEPAGE |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2022 |
| Last Updated: | 05/09/2022 |
Provider Practice Location
350 MYLES STANDISH BLVD
TAUNTON
MA
027807387
Practice Location Phone/Fax
| Phone: | 5088241355 |
| Fax: |
Provider Mailing Location
134 ARIZONA ST
FALL RIVER
MA
027233228
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |