Individual
MICHAEL A GENESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 GREENWOOD ST STE A, WORCESTER, MA 01607-1767
(508) 363-0200
Mailing address
48 WAYNE ST, WORCESTER, MA 01603-3138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
73-1645704
MA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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