Individual
JENNIFER LYNN LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
(508) 455-6200
Mailing address
33 PERRY AVE, ATTLEBORO, MA 02703-2417
(401) 696-9405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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