Individual
IMELDA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(877) 418-2978
(866) 500-2186
Mailing address
225 CEDAR HILL ST STE 220, MARLBOROUGH, MA 01752-5900
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
RI
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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