Individual
JAKE ADAM STALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 CHURCH ST STE 301, WHITINSVILLE, MA 01588-1464
(508) 234-4181
Mailing address
76 CHURCH ST STE 301, WHITINSVILLE, MA 01588-1464
(508) 234-4181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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