Individual
CRAIG FREDERICK ITTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
262 WESTFIELD RD, HOLYOKE, MA 01040-1662
(818) 241-6780
Mailing address
262 WESTFIELD RD, HOLYOKE, MA 01040-1662
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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