Individual
ERISA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 SLATER AVE, SPRINGFIELD, MA 01119-1628
(413) 557-9758
Mailing address
122 SLATER AVE, SPRINGFIELD, MA 01119-1628
(413) 557-9758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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