Individual
JEREMY DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 SOUTH ST APT 3R, JAMAICA PLAIN, MA 02130-3950
(774) 392-0582
Mailing address
158 SOUTH ST APT 3R, JAMAICA PLAIN, MA 02130-3950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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