Individual
MS. DANA THERESA MAZZETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
46 MYSTERY ROSE LN, WEST GROVE, PA 19390-8812
(610) 316-7307
(610) 436-1208
Mailing address
46 MYSTERY ROSE LN, WEST GROVE, PA 19390-8812
(610) 316-7307
(610) 436-1208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181053
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-181053
BEHAVIOR ANALYST CERTIFICATION BOARD
CO
Enumeration date
05/03/2022
Last updated
05/03/2022
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