Individual
MS. AZURE PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
614 HAMMOND ST, 3RD FLOOR, CHESTNUT HILL, MA 02467-2161
(617) 505-6183
(617) 505-6184
Mailing address
16 SCHOOL ST, CHELSEA, MA 02150-2715
(559) 313-8163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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