| NPI | 1013403476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOHN MADDEN Behavior Analyst 781-698-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA423) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |