Individual
JADA WORTHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
591 CENTRE ST, BROCKTON, MA 02302-3326
(774) 240-2239
Mailing address
29 GODDARD RD, BROCKTON, MA 02301-3848
(774) 240-2239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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