Individual
ANAYA JACQUES-SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 HALE ST, BEVERLY, MA 01915-2098
(781) 866-3962
Mailing address
18 LIGHT GUARD DR, MEDFORD, MA 02155-5704
(781) 866-3962
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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