Individual
DENISE HIDAI GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 SADLER ST, LYNN, MA 01905-1161
(857) 277-2895
Mailing address
57 SADLER ST, LYNN, MA 01905-1161
(857) 277-2895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S33950217
MA
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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