Individual
DAMINIC MAYLYN COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 727-6938
Mailing address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 727-6938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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