Individual
JAILYN MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
659 PROSPECT ST APT C3, CHICOPEE, MA 01020-7003
(413) 378-5765
Mailing address
659 PROSPECT ST APT C3, CHICOPEE, MA 01020-7003
(413) 378-5765
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/21/2024
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