Individual
JAALIYAH ENVY TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 MAIN ST, WORCESTER, MA 01610-1400
(774) 420-1822
Mailing address
950 MAIN ST, WORCESTER, MA 01610-1400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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