Tierra Petrus

NPI #1265110589 in South Easton, Massachusetts

Provider Information

NPI Number: 1265110589
Entity Type: Individual
Name: Tierra Petrus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 6, 2023
Last Updated: Jul 6, 2023

Practice Location

Address: 6416 ROBERT DR
City: South Easton
State: Massachusetts
ZIP Code: 02375-1837
Phone: (781) 664-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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