Individual
DIANA YASSIRYS PEREYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
(508) 634-6984
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
222Q00000X
Developmental Therapist
—
MA
Other
Enumeration date
04/12/2020
Last updated
10/16/2020
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