| NPI | 1205298932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYN ANN SNOW Executive Director 978-677-6952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 00123) |
| Additional Taxonomies | 251S00000X (Licence: MA 00123) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MA 00123) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |