Takiera Pettus

NPI #1407695091 in Allston, Massachusetts

Provider Information

NPI Number: 1407695091
Entity Type: Individual
Name: Takiera Pettus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 22, 2024
Last Updated: May 22, 2024

Practice Location

Address: 226 HARVARD AVE
City: Allston
State: Massachusetts
ZIP Code: 02134-4605
Phone: (617) 942-6720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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