Magella Derival
NPI #1992278006 in Roslindale, Massachusetts
Provider Information
- NPI Number
- 1992278006
- Entity Type
- Individual
- Name
- Magella Derival
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 10, 2019
- Last Updated
- Jan 10, 2019
Practice Location
- Address
- 13 MERCEDES VW
- City
- Roslindale
- State
- Massachusetts
- ZIP Code
- 02131-4431
- Phone
- (857) 719-6450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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