Individual
JACLYN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CABOT RD, MERRIMACK, NH 03054-2633
(978) 430-0086
Mailing address
32 CABOT RD, MERRIMACK, NH 03054-2633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64843
NH
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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