Johanny De Jesus

NPI #1356199061 in Peabody, Massachusetts

Provider Information

NPI Number: 1356199061
Entity Type: Individual
Name: Johanny De Jesus
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 8, 2024
Last Updated: May 9, 2024

Practice Location

Address: 60 CENTRAL ST
City: Peabody
State: Massachusetts
ZIP Code: 01960-4357
Phone: (781) 353-1704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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