Individual
ELYSSA PETTEPIT DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
116 HELEN DR, HANSON, MA 02341-1207
(781) 924-1408
(781) 924-3293
Mailing address
40 WATERCOURSE PL, PLYMOUTH, MA 02360-3626
(508) 254-0692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
179
MA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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