Provider Demographics
NPI:1144813841
Name:PEARLMAN, SEAN BRENDON (RBT)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:BRENDON
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-3231
Mailing Address - Country:US
Mailing Address - Phone:857-264-8106
Mailing Address - Fax:
Practice Address - Street 1:21 BERKSHIRE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-3231
Practice Address - Country:US
Practice Address - Phone:857-264-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst