Individual
MADELYNE PETTENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 MAIN DUNSTABLE RD # 200, NASHUA, NH 03060-3640
(855) 959-4222
Mailing address
7A LEMON ST, NASHUA, NH 03064-2208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-158629
NH
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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