Individual
JAYDA VITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 FURNACE BROOK PKWY, QUINCY, MA 02169-4758
(800) 337-5965
Mailing address
1266 FURNACE BROOK PKWY, QUINCY, MA 02169-4758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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