Individual
ELISA COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 SUNSET DR, NORTHBOROUGH, MA 01532-2317
(508) 425-0510
Mailing address
27 SUNSET DR, NORTHBOROUGH, MA 01532-2317
(508) 425-0510
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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