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Individual

MS. IRLANDE AIME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12 SOUTHERN AVE, BOSTON, MA 02124-2012
(617) 708-0870
(617) 516-8274
Mailing address
12 SOUTHERN AVE, BOSTON, MA 02124-2012
(617) 708-0870
(617) 516-8274

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
MA
246YR1600X
Registered Record Administrator
Primary

Other

Enumeration date
02/19/2019
Last updated
04/21/2022
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