Ethan Dejesus
Ethan Dejesus is a Behavior Technician in Cambridge, Massachusetts. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
113 Richdale Ave Unit 15Cambridge, MA 02140-3333
Phone: (413) 275-9373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1952169039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 12, 2024 |
| Last updated in NPPES | March 12, 2024 |
| Certification date | March 12, 2024 |
| Mailing address | 38 N Summer St Apt 1b, Holyoke, MA 01040-6266 |
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