Individual
BITSENA S ANTONIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CONSTITUTION WAY, WOBURN, MA 01801-1199
(888) 754-0398
Mailing address
255 GRAPEVINE RD, WENHAM, MA 01984-1813
(978) 716-7624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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