Mazzetti, Dana Theresa

Mazzetti, Dana Theresa is an individual health care provider with primary practice located at 46 Mystery Rose Ln , West Grove PA 19390-8812. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mazzetti, Dana Theresa can be contacted via phone (610) 316-7307.

Contact Information

Primary practice address
46 Mystery Rose Ln West Grove PA 19390-8812
Phone: (610) 316-7307
Fax: (610) 436-1208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-181053 Colorado

Profile Details

NPI number 1568107696
LBN Legal business name Mazzetti, Dana Theresa
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2022
Last updated May 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568107696 NPPES
Colorado Other RBT-21-181053 BEHAVIOR ANALYST CERTIFICATION BOARD

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