Individual
ANGELICA MARIE COSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 GROTON SCHOOL RD APT G1, AYER, MA 01432-1032
(978) 751-1922
Mailing address
75 GROTON SCHOOL RD, AYER, MA 01432-1041
(978) 751-1922
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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