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Individual

PRISCILA DE ALCANTARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
209 W CENTRAL ST STE 216, NATICK, MA 01760-3716
(617) 955-0595
Mailing address
209 W CENTRAL ST STE 216, NATICK, MA 01760-3716
(617) 955-0595

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MA
103K00000X
Behavior Analyst
Primary
12149116
MA

Other

Enumeration date
01/12/2018
Last updated
05/28/2021
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