Destiny Fitzgerald-Pereira
Behavior Technician in Boston, MA. Individual provider (NPI-1).
NPI number1982302469
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1982302469
- Entity type
- Individual (NPI-1)
- Name
- Destiny Fitzgerald-Pereira
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2023
- Certification date
- Feb 21, 2023
- Last updated
- Feb 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
90 Canal St Ste 4Boston, MA 02114-2022
Phone 888-922-2843 · Fax 855-568-2494
Mailing address
90 Canal St Ste 4Boston, MA 02114-2022
Phone 888-922-2843 · Fax 855-568-2494
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