Individual
MR. ANTHONY PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 ELIZABETH ST, UNIT 102, WORCESTER, MA 01605-2965
(774) 239-2040
Mailing address
31 ELIZABETH ST, UNIT 102, WORCESTER, MA 01605-2965
(774) 239-2040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S78193757
MA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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