Individual
CHANELLE NATALYAH LUGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 FAULKNER ST APT 301, DORCHESTER, MA 02122-1374
(617) 875-8227
Mailing address
21 FAULKNER ST APT 301, DORCHESTER, MA 02122-1374
(617) 875-8227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SA5901911
MA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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