Individual
JOHN D ZANGERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 440-0400
Mailing address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 440-0400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51503
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
10/19/2022
Last updated
10/19/2022
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