Individual
MS. LORIMAR SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
180 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-2508
(413) 271-3056
Mailing address
560 BOSTON TPKE, SHREWSBURY, MA 01545-5970
(508) 443-0018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32978
MA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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