MS. Azure Pellegrino, BCBA

NPI #1659621951 in Chestnut Hill, Massachusetts

Provider Information

NPI Number: 1659621951
Entity Type: Individual
Name: MS. Azure Pellegrino, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Sep 13, 2012
Last Updated: Sep 13, 2012

Practice Location

Address: 614 HAMMOND ST
Address 2: 3RD FLOOR
City: Chestnut Hill
State: Massachusetts
ZIP Code: 02467-2161
Phone: (617) 505-6183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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