Individual
GEMIMA PREVILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GILL ST STE J, WOBURN, MA 01801-1721
(617) 505-6183
(617) 505-6184
Mailing address
77 ARNOLD ST, METHUEN, MA 01844-3601
(978) 390-5514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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