Individual
MRS. JACQUELINE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 CARANDO DR, SPRINGFIELD, MA 01104-4205
(413) 865-6919
Mailing address
1562 SUMNER AVE, SPRINGFIELD, MA 01118-1738
(413) 433-6490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/21/2021
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