Mallory Ann Petrella, BS

NPI #1508476797 in Columbus, Ohio

Provider Information

NPI Number: 1508476797
Entity Type: Individual
Name: Mallory Ann Petrella, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BS
Enumeration Date: Aug 3, 2020
Last Updated: Aug 3, 2020

Practice Location

Address: 4664 LARWELL DR
City: Columbus
State: Ohio
ZIP Code: 43220-3621
Phone: (614) 487-7805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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