Individual
ANNIE ELIZABETH PETELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
15000 COMMERCE PKWY STE C, MOUNT LAUREL, NJ 08054-2212
(855) 613-0888
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00112400
NJ
Other
Enumeration date
02/24/2025
Last updated
05/12/2025
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