Individual
DAIJAH TORTORELLABEAURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 LONGWOOD AVE, FITCHBURG, MA 01420-3327
(978) 514-0187
Mailing address
216 W BOYLSTON ST, WEST BOYLSTON, MA 01583-1784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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