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Evelyn Carol Powell

Behavior Technician in Quincy, MA. Individual provider (NPI-1).

NPI number1164072138
StatusActive
Last updated in NPPESSep 12, 2019

Details

NPI
1164072138
Entity type
Individual (NPI-1)
Name
Evelyn Carol Powell
Sex
Female
Sole proprietor
No
Enumeration date
Sep 12, 2019
Last updated
Sep 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

182 Vassall St
Quincy, MA 02170-2218

Phone 617-765-5127

Mailing address

182 Vassall St
Quincy, MA 02170-2218

Phone 617-765-5127

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