Individual
NIDIA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HEATH ST, JAMAICA PLAIN, MA 02130
(185) 739-9356
Mailing address
199 HEATH ST, JAMAICA PLAIN, MA 02130-1119
(857) 399-3564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S83962053
MA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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