Individual
BENETTY ALTENOR EUSTACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GARLAND AVE, N/A, EAST LONGMEADOW, MA 01028-2036
(781) 913-7261
Mailing address
5 GARLAND AVE, EAST LONGMEADOW, MA 01028-2036
(781) 913-7261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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