Individual
DERAY CASTILLO CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 WADSWORTH ST APT 1, MALDEN, MA 02148-7420
(617) 935-2683
Mailing address
18 WADSWORTH ST APT 1, MALDEN, MA 02148-7420
(617) 935-2683
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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