Individual
ELIANE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 WESTFIELD RD, HOLYOKE, MA 01040-1662
(413) 534-3299
Mailing address
45 ELY ST, HOLYOKE, MA 01040-6261
(413) 770-5088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S25002635
MA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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