| NPI | 1235650698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAX GRECO Contracting/Insurance 617-596-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 103K00000X Behavior Analyst (Licence: NC 1-14-10171) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2026-02-02 |