Individual
JOSE CORREIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 CLARKSON ST, 1, DORCHESTER, MA 02125-2529
(617) 590-9231
Mailing address
64 CLARKSON ST, 1, DORCHESTER, MA 02125-2529
(617) 590-9231
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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