Individual
ANNETTE DIANNE COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 INTERVALE AVE, DRACUT, MA 01826-6015
(978) 259-8811
Mailing address
31 INTERVALE AVE, DRACUT, MA 01826-6015
(978) 259-8811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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