Individual
ELIANA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 BUCKLEY RD # 624, STOUGHTON, MA 02072-1526
(857) 588-3056
Mailing address
12 BUCKLEY RD # 624, STOUGHTON, MA 02072-1526
(857) 588-3056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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