Individual
GRACE LAUREN BONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CENTER ST, CHICOPEE, MA 01013-2680
(413) 530-1234
Mailing address
21 OPAL DR, PLAINVIEW, NY 11803-3807
(516) 578-7364
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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