Individual
DEVA JESUS CARDOSO LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 ROSSETER ST, BOSTON, MA 02121-3992
(617) 383-1776
Mailing address
102 ROSSETER ST, BOSTON, MA 02121-3992
(617) 383-1776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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