Individual
ALLEN DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 GILBERT AVE, SPRINGFIELD, MA 01119-1417
(781) 346-5592
Mailing address
314 GILBERT AVE, SPRINGFIELD, MA 01119-1417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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