Individual
ALEA DEVAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 FURNACE BROOK PKWY, QUINCY, MA 02169-4758
(617) 415-1619
Mailing address
1266 FURNACE BROOK PKWY, QUINCY, MA 02169-4758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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