Individual
EVA RAGONESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 VIRGINIA RD # 310B, CONCORD, MA 01742-2761
(978) 759-7002
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 354-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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