Individual provider · NPI-1

Irlande Aime

Spec/Tech, Health Info, Registered Record Administrator · Boston, MA

NPI number1629534201
StatusActive
Last updated in NPPESApr 21, 2022

Details

NPI
1629534201
Entity type
Individual (NPI-1)
Name
Ms. Irlande Aime
Sex
Female
Sole proprietor
No
Enumeration date
Feb 19, 2019
Certification date
Apr 21, 2022
Last updated
Apr 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246YR1600X Spec/Tech, Health Info, Registered Record Administrator––Yes
106S00000X Behavior Technician–MA

Practice location

12 Southern Ave
Boston, MA 02124-2012

Phone 617-708-0870 · Fax 617-516-8274

Mailing address

12 Southern Ave
Boston, MA 02124-2012

Phone 617-708-0870 · Fax 617-516-8274

Other practice locations

109 Oak St Ste 103
Newton, MA 02464-1493

Phone 617-658-5611

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