Individual
MISS AVA LYNN DAUWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
109 OAK ST STE G20, NEWTON, MA 02464-1492
(617) 658-5611
Mailing address
109 OAK ST STE G20, NEWTON, MA 02464-1492
(617) 658-5611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/11/2022
Last updated
10/11/2022
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