Individual
MRS. JACQUELINE AUGUSTA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 LAWRENCE ST STE 3, TAUNTON, MA 02780-1700
(508) 951-3569
Mailing address
7 LAWRENCE ST STE 3, TAUNTON, MA 02780-1700
(508) 951-3569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S09966644
MA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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