Individual
DAJANEA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 ELM ST, WORCESTER, MA 01609-2541
(413) 750-8714
Mailing address
14 LYNDALE ST, SPRINGFIELD, MA 01108-2468
(413) 750-8714
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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