Individual
ROSY REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 MAYFIELD ST, WORCESTER, MA 01602-3427
(508) 797-2472
Mailing address
93 MAYFIELD ST, WORCESTER, MA 01602-3427
(508) 798-2472
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100018603058
MASSHEALTH
MA
Enumeration date
07/15/2018
Last updated
07/15/2018
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