Individual provider · Type 1 NPI

Carly Allysa Branconnier

Developmental Therapist · Worcester, MA

NPI number 1316451685 Active

Practice location

345 Greenwood St Ste A
Worcester, MA 01607-1767

Call (508) 363-0200 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1316451685

Carly Allysa Branconnier's National Provider Identifier is 1316451685, issued on Nov 25, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Worcester, MA. The record was last updated on Nov 25, 2017.