Individual
ELIZABETH PEDROZA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 829-4040
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 829-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
S1780823
MA
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1708823
DRIVER LICENSE NUMBER
MA
01
—
S1780823
MAS1708023
MA
05
—
S1780823
—
MA
Enumeration date
12/19/2019
Last updated
07/21/2022
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