Individual
NISHA DORMEVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 EASTON STREET ALLSTON BOSTON, 1, BOSTON, MA 02134-1408
(857) 266-8271
Mailing address
89 EASTON STREET ALLSTON BOSTON, 1, BOSTON, MA 02134-1408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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