Gina Marie Vizard

NPI #1427818723 in Dedham, Massachusetts

Provider Information

NPI Number: 1427818723
Entity Type: Individual
Name: Gina Marie Vizard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 21, 2024
Last Updated: Mar 21, 2024

Practice Location

Address: 95 EASTERN AVE STE 8
City: Dedham
State: Massachusetts
ZIP Code: 02026-4582
Phone: (617) 996-1210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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