Individual
ADIANEZ ALICEA-CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(508) 596-3121
Mailing address
12 MORA ST, DORCHESTER, MA 02124-4689
(857) 413-0266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/31/2019
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