Individual
JANIELIZ MARIAH COTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 LLOYD AVE, SPRINGFIELD, MA 01119-1642
(413) 214-3199
Mailing address
22 LLOYD AVE, SPRINGFIELD, MA 01119-1642
(413) 214-3199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
SA4700105
MA
106S00000X
Behavior Technician
SA4700105
MA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/13/2024
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