Individual
JADI LYNNETTE DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 PLEASANT ST APT 161, DORCHESTER, MA 02125-4872
(857) 930-8737
Mailing address
160 PLEASANT ST APT 161, DORCHESTER, MA 02125-4872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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