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Contact Information

RUSSELL S BARD JR
311 LOWELL ST
APT 2101
ANDOVER, MA01810-4552
 Phone: 978-873-7653
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for RUSSELL S BARD JR · (Male)

NPI Number 1629347307
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2011
Last updated 12/23/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 101Y00000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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