Individual
MR. JASON AVAKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 NOBLE ST, DUDLEY, MA 01571-5790
(774) 230-6051
Mailing address
39 NOBLE ST, DUDLEY, MA 01571-5790
(774) 230-6051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8209
MA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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