Individual
DEMITRIUS WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CENTER ST, CHICOPEE, MA 01013-2680
(413) 540-1234
(413) 538-5169
Mailing address
10 CENTER ST, CHICOPEE, MA 01013-2680
(413) 540-1234
(134) 538-5169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
06/05/2024
Last updated
09/17/2024
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