Individual
MARIAH PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99A MILL ST, SPRINGFIELD, MA 01108-1046
(774) 266-3026
Mailing address
870 SUFFIELD ST, SUFFIELD, CT 06078-2224
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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