Individual
JADE KIMBERLY ST PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
657 QUARRY ST, FALL RIVER, MA 02723-1020
(508) 997-1311
Mailing address
161 BARLOW ST APT 1, FALL RIVER, MA 02723-3772
(774) 444-3062
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00158004
MASS HEALTH CONNECTOR
MA
01
—
MTN964219079
BCBS
MA
Enumeration date
01/10/2019
Last updated
09/22/2021
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