Individual
ALISHA KAYLA DELISSAINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 FANEUIL HALL MARKETPLACE FL 3, BOSTON, MA 02109-6114
(888) 329-4535
Mailing address
239 ASHLAND AVE, SPRINGFIELD, MA 01119-2703
(413) 241-1834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80041658801
HEALTH NEW ENGLAND
MA
Enumeration date
10/30/2018
Last updated
10/30/2018
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