Broderick, Shannon

Broderick, Shannon is an sole proprietor health care provider with primary practice located at 64 Bradford St , Abington MA 02351. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Broderick, Shannon can be contacted via phone (781) 413-4822.

Contact Information

Primary practice address
64 Bradford St Abington MA 02351
Phone: (781) 413-4822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1972016855
LBN Legal business name Broderick, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2017
Last updated Nov 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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