Individual
GEMMY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 CHAPEL ST, NEWTON, MA 02458-1065
(860) 801-7627
Mailing address
85 CHAPEL ST, NEWTON, MA 02458-1065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64292
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/27/2020
Last updated
04/25/2023
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