Most Relevant Information
Provider Data
| NPI Number: | 1003667973 |
| Provider Name: | EMILY GUMMER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2024 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
95 EASTERN AVE STE 8
DEDHAM
MA
020264582
Practice Location Phone/Fax
| Phone: | 6179961210 |
| Fax: |
Provider Mailing Location
95 EASTERN AVE STE 8
DEDHAM
MA
020264582
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |