Stephanie Petillo

NPI #1124602362 in Danvers, Massachusetts

Provider Information

NPI Number: 1124602362
Entity Type: Individual
Name: Stephanie Petillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 12, 2021
Last Updated: May 12, 2021

Practice Location

Address: 6 SOUTHSIDE RD
City: Danvers
State: Massachusetts
ZIP Code: 01923-1409
Phone: (978) 762-8352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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