Individual
SUZANNE VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 ANGELA AVE, CRANSTON, RI 02921-2512
(401) 484-3313
Mailing address
24 ANGELA AVE, CRANSTON, RI 02921-2512
(401) 484-3313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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