Individual
JACLYN KENDALL BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SIERRA DR, SOUTH EASTON, MA 02375-1251
(508) 269-2242
Mailing address
19 SIERRA DR, SOUTH EASTON, MA 02375-1251
(508) 269-2242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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