Most Relevant Information
Provider Data
| NPI Number: | 1003521642 |
| Provider Name: | MILTON MANCIALEMUS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/18/2023 |
| Last Updated: | 01/18/2023 |
Provider Practice Location
8 ESSEX CENTER DR
PEABODY
MA
019602959
Practice Location Phone/Fax
| Phone: | 7814696141 |
| Fax: |
Provider Mailing Location
8 ESSEX CENTER DR
PEABODY
MA
019602959
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |