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Individual

ERICA DANIELLE BAVEJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
128 NEWBURY ST APT 2221, PEABODY, MA 01960-3949
(978) 473-6095
Mailing address
128 NEWBURY ST APT 2221, PEABODY, MA 01960-3949
(978) 473-6095

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
235Z00000X
Speech-Language Pathologist
Primary
SLP78461
MA

Other

Enumeration date
03/26/2018
Last updated
03/02/2026
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