Individual
MRS. JACQUELINE N/A SANTIAGO ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 UNION ST, SIUTE 557, LAWRENCE, MA 01840-1866
(978) 682-7289
(978) 686-2954
Mailing address
15 UNION ST, SIUTE 557, LAWRENCE, MA 01840-1866
(978) 682-7289
(978) 686-2954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
101Y00000X
MA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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