Individual
JESSSICA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
5 STRATFORD RD, CANTON, MA 02021-4213
(508) 596-6222
Mailing address
5 STRATFORD RD, CANTON, MA 02021-4213
(781) 366-4210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3103-MH-B1
MA
Other
Enumeration date
08/15/2021
Last updated
08/15/2021
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