Individual
JENNA ABIGAIL ROOSEVELT HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 EASTERN AVE STE 8, DEDHAM, MA 02026-4582
(617) 996-1210
Mailing address
105 FARWELL ST APT A, NEWTON, MA 02460-1029
(207) 266-9974
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-78857
MA
106S00000X
Behavior Technician
—
TX
Other
Enumeration date
09/28/2021
Last updated
01/21/2025
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