Individual
EVA WANJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VERNON ST APT 427E, WORCESTER, MA 01607-1162
(617) 943-9408
Mailing address
200 VERNON ST APT 427E, WORCESTER, MA 01607-1162
(617) 943-9408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59367
MA
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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