Individual
IVIANNETTE CHAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CENTER ST, CHICOPEE, MA 01013-2680
(413) 540-1234
Mailing address
53 HOMESTEAD AVE, INDIAN ORCHARD, MA 01151-1809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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