Individual
DEJAH MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 DERBY RD APT 1, REVERE, MA 02151-1801
(857) 753-8048
Mailing address
31 DERBY RD APT 1, REVERE, MA 02151-1801
(857) 753-8048
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
NONE
MA
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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