Individual
JENNIFER MAMAKOS LABOLLITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LABA
Contact information
Practice address
354 WAVERLEY ST, FRAMINGHAM, MA 01702-7079
(508) 808-3042
Mailing address
354 WAVERLEY ST, FRAMINGHAM, MA 01702-7079
(508) 808-3042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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