Individual
TAYSHA QUINONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 SWEET AVE, WOONSOCKET, RI 02895-3570
(774) 823-0894
Mailing address
92 SWEET AVE, WOONSOCKET, RI 02895-3570
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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