Jeremy Licciardo
Jeremy Licciardo is a Behavior Technician in Gardner, Massachusetts. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
19 Wright St Apt 2Gardner, MA 01440-2937
Phone: (978) 413-3290
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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 | 1982396719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 22, 2023 |
| Last updated in NPPES | May 22, 2023 |
| Certification date | May 22, 2023 |
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