Individual
YANICK JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 ROCKWELL AVE, BROCKTON, MA 02302-3425
(857) 312-6905
Mailing address
14 ROCKWELL AVE, BROCKTON, MA 02302-3425
(857) 312-6905
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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