Individual
KRISTEN AMY PELLERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 TOTTEN POND RD, SUITE 300, WALTHAM, MA 02451-1991
(781) 895-3200
Mailing address
21A BOLIVAR ST, CANTON, MA 02021-3141
(978) 618-8391
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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