Individual
OMAR CRUSETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 MYRTLE AVE, FITCHBURG, MA 01420-3449
(978) 467-3183
Mailing address
96 MYRTLE AVE, FITCHBURG, MA 01420-3449
(978) 467-3183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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