Individual
JASON E MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
591 CENTRE ST, BROCKTON, MA 02302-3326
(774) 315-4929
(774) 315-4929
Mailing address
591 CENTRE ST, BROCKTON, MA 02302-3326
(774) 315-4929
(774) 315-4929
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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