Individual
MIKAELA MALLOZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
341 LYNN ST # 1, MALDEN, MA 02148-6212
(203) 414-8008
Mailing address
341 LYNN ST # 1, MALDEN, MA 02148-6212
(203) 414-8008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56488
MA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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