Katiana Dormelus

NPI #1518500362 in Randolph, Massachusetts

Provider Information

NPI Number: 1518500362
Entity Type: Individual
Name: Katiana Dormelus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 24, 2019
Last Updated: Oct 24, 2019

Practice Location

Address: 44 DIAUTO DR
City: Randolph
State: Massachusetts
ZIP Code: 02368-4536
Phone: (781) 885-7252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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