Individual
AMBER J CANNALONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3 HACKER ST APT 2, WORCESTER, MA 01603-3291
(508) 735-0917
Mailing address
3 HACKER ST APT 2, WORCESTER, MA 01603-3291
(508) 735-0917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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