Individual
JADAYA RONYE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 BLUE DRIVE, FLOOR 5, BOSTON, MA 55234
(617) 297-4894
Mailing address
186 BOWDOIN ST APT 2, BOSTON, MA 02122-3696
(617) 297-4894
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
01/29/2024
Last updated
03/26/2024
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