Vanedjie Ava Rosefort

NPI #1528724036 in Stoughton, Massachusetts

Provider Information

NPI Number: 1528724036
Entity Type: Individual
Name: Vanedjie Ava Rosefort
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 10, 2021
Last Updated: Nov 10, 2021

Practice Location

Address: 966 PARK ST STE B2
City: Stoughton
State: Massachusetts
ZIP Code: 02072-3650
Phone: (781) 474-7771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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