Individual
KAYLA A PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
54 LAKE DR, PLYMOUTH, MA 02360-5644
(508) 287-4105
Mailing address
54 LAKE DR, PLYMOUTH, MA 02360-5644
(508) 287-4105
(781) 385-7324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2462
MA
Other
Enumeration date
04/24/2018
Last updated
01/04/2024
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