Individual
JEWEL GODDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 N MAIN ST STE 205, FALL RIVER, MA 02720-2972
(774) 992-4981
Mailing address
12 CUSHMAN ST, ACUSHNET, MA 02743-2333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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