Individual
JESCAH APAMO-GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 PLANTATION ST, WORCESTER, MA 01604-3024
(508) 340-9006
Mailing address
86 PLANTATION ST, WORCESTER, MA 01604-3024
(508) 340-9006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0416
MA
103K00000X
Behavior Analyst
11314663
MA
Other
Enumeration date
03/18/2016
Last updated
04/14/2016
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