IndividualActive
Amanda Widrow
NPI 1114760014 · Behavior Technician · Randolph, MA
Provider details
- NPI number
- 1114760014
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
755 N Main St
Randolph, MA 02368-3644
Phone: (508) 631-5858
Approximate (ZIP-level) locationGet directions
Mailing address
755 N Main St
Randolph, MA 02368-3644
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.