Individual
ILIANELIZ SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 CANAL ST, BOSTON, MA 02114-2018
(617) 821-1592
Mailing address
90 CANAL ST, BOSTON, MA 02114-2018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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