Individual
DESIREE VENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 E MAIN ST, WEST BROOKFIELD, MA 01585-2906
(508) 864-3704
Mailing address
31 E MAIN ST, WEST BROOKFIELD, MA 01585-2906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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