Individual
JACQUELINE BORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 CHANDLER ST, WORCESTER, MA 01602-3441
(818) 241-6780
Mailing address
950 E HAVERFORD RD STE 100A, BRYN MAWR, PA 19010-3850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001095
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/12/2021
Last updated
09/04/2024
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