Individual
KYANA FIGUEROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 SUSSEX ST, ROXBURY, MA 02120
(857) 222-6060
Mailing address
4 SUSSEX ST, ROXBURY, MA 02120-2206
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1843
1843
—
Enumeration date
06/05/2019
Last updated
06/05/2019
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