Individual
JASSANDRE BERLUS-JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GILL ST STE J, WOBURN, MA 01801-1721
(617) 505-6183
(617) 505-6184
Mailing address
19 KILSYTH RD, MEDFORD, MA 02155-6521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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