Individual
IRIS MAE PEVZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
160 BARTLETT RD, PLYMOUTH, MA 02360-1578
(781) 424-9877
Mailing address
160 BARTLETT RD, PLYMOUTH, MA 02360-1578
(781) 424-9877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-394096
MA
Other
Enumeration date
06/13/2025
Last updated
06/17/2025
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