Individual
ELLAINE ADU NTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 GREENWOOD ST STE A, WORCESTER, MA 01607-1767
(508) 363-0200
Mailing address
11 ESTHER ST APT 1, WORCESTER, MA 01607-1037
(973) 914-2941
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MA
Other
Enumeration date
09/18/2018
Last updated
09/20/2018
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