Individual
ECSTACY J JUSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 303-9084
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 303-9084
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
12/03/2025
Last updated
05/01/2026
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