Acquaviva, Jonathan

Acquaviva, Jonathan is an sole proprietor health care provider with primary practice located at 125 Hartwell Ave , Lexington MA 02421-3100. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Acquaviva, Jonathan can be contacted via phone (781) 861-0890.

Contact Information

Primary practice address
125 Hartwell Ave Lexington MA 02421-3100
Phone: (781) 861-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1902512767
LBN Legal business name Acquaviva, Jonathan
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2023
Last updated Jan 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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