Individual
JILL SPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GILL ST, SUITE J, WOBURN, MA 01801-1721
(617) 505-6183
Mailing address
10 GILL ST, SUITE J, WOBURN, MA 01801-1721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-07-3940
BACB
—
Enumeration date
01/11/2017
Last updated
01/11/2017
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