Individual
JAMIE JAILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CHARNOCK HILL RD, RUTLAND, MA 01543-1111
(508) 769-3087
Mailing address
21 CHARNOCK HILL RD, RUTLAND, MA 01543-1111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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