Individual
JASON MASIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 NEWBURY ST STE 400, BOSTON, MA 02116-3053
(617) 223-7549
Mailing address
PO BOX 170715, BOSTON, MA 02117-0945
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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