Individual
ULLASITHA JAGADISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
35 STEARNS RD, WEST ROXBURY, MA 02132-4608
(617) 469-6410
Mailing address
35 STEARNS RD, WEST ROXBURY, MA 02132-4608
(617) 469-6410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
05/13/2017
Last updated
07/21/2022
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