Individual
VITTORIA A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(877) 418-2978
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-43480
BOARD CERTIFIED BEHAVIOR ANALYST NUMBER
—
Enumeration date
07/03/2020
Last updated
08/13/2020
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