Individual
FACELY ROCHELL NEGRON DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(617) 658-5611
Mailing address
20 MARLBOROUGH AVE, PROVIDENCE, RI 02907-1219
(401) 585-2890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
RI
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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