Most Relevant Information
Provider Data
| NPI Number: | 1003657586 |
| Provider Name: | BROOKLYN AMBER BOISCLAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2024 |
| Last Updated: | 06/06/2024 |
Provider Practice Location
216 W BOYLSTON ST
WEST BOYLSTON
MA
015831784
Practice Location Phone/Fax
| Phone: | 5082133355 |
| Fax: |
Provider Mailing Location
119 SACHEM AVE
WORCESTER
MA
016061852
Provider Mailing Phone/Fax
| Phone: | 5083326900 |
| Fax: |