Individual
JESSICA BARROS FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345A GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0200
(508) 363-1213
Mailing address
345A GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0200
(508) 363-1213
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S81437941
MA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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