Individual
AMANDA LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2 COMMERCIAL ST, SHARON, MA 02067-1659
(774) 284-0556
Mailing address
5 JEAN RD, MANSFIELD, MA 02048-3325
(774) 284-0556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
Other
Enumeration date
05/29/2019
Last updated
05/20/2025
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