Individual
JAMISE LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WASHINGTON ST, BRAINTREE, MA 02184-4729
(616) 375-7632
Mailing address
400 WASHINGTON ST, BRAINTREE, MA 02184-4729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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