Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WASHINGTON ST STE A, NORWELL, MA 02061-1762
(781) 923-0032
Mailing address
3 CORINNE PKWY, MIDDLEBORO, MA 02346-2505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB453315
MA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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