Individual
OLGA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 FOSTER RD, SOUTHWICK, MA 01077-9536
(413) 427-8179
Mailing address
10 FOSTER RD, SOUTHWICK, MA 01077-9536
(413) 427-8179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10000490
MA
Other
Enumeration date
03/08/2020
Last updated
01/15/2025
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