Individual
JESSICA ROSE BANCEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
(855) 496-8462
Mailing address
233 BRIGHAM HILL RD, NORTH GRAFTON, MA 01536-1244
(508) 963-4867
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
03/05/2025
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