Individual
ELVIANA CLOSEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 CENTRAL AVE APT 210, LYNN, MA 01901-1134
(305) 481-1508
Mailing address
78 CENTRAL AVE APT 210, LYNN, MA 01901-1134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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