Individual
CARMEN PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 SUFFOLK ST, SPRINGFIELD, MA 01109-2825
(413) 735-3406
Mailing address
88 SUFFOLK ST, SPRINGFIELD, MA 01109-2825
(413) 735-3406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/22/2024
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