Individual
IARA DARIELY CHAMBA HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
891 HYDE PARK AVE, BOSTON, MA 02136-3267
(617) 477-4050
Mailing address
872 BEACON ST APT 3, BOSTON, MA 02215-3107
(862) 264-7965
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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