| NPI | 1164978722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MACLEAN Clinical Director 617-467-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 583) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 7235) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |