Individual
AISHA AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 CRESTWOOD DR, SOUTHBRIDGE, MA 01550-1112
(774) 289-4325
Mailing address
64 CRESTWOOD DR, SOUTHBRIDGE, MA 01550-1112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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