Most Relevant Information
Provider Data
| NPI Number: | 1003634411 |
| Provider Name: | KERLEENE DORCEUS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2024 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
8 RAMSDELL PL
LYNN
MA
019042725
Practice Location Phone/Fax
| Phone: | 7815138402 |
| Fax: |
Provider Mailing Location
8 RAMSDELL PL
LYNN
MA
019042725
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |