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Individual

MISS GINA MAZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
262 SWANSEA MALL DR STE 701, SWANSEA, MA 02777-4151
(877) 418-2978
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
C082014000328
CT
103K00000X
Behavior Analyst
Primary
GA
103K00000X
Behavior Analyst
MA

Other

Enumeration date
06/10/2015
Last updated
12/16/2025
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