Individual provider · Type 1 NPI
Brianna Micciche
Developmental Therapist · East Boston, MA
Practice location
130 Condor St
East Boston, MA 02128-1305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1124431135
Brianna Micciche's National Provider Identifier is 1124431135, issued on Jun 6, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in East Boston, MA. The record was last updated on Jun 6, 2014.