| NPI | 1336698299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA VARGAS-IRWIN Executive Director 617-283-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 749) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1123) |
| 103K00000X Behavior Analyst (Licence: MA 949) | |
| 103K00000X Behavior Analyst (Licence: MA 1002) | |
| 103T00000X Psychologist (Licence: MA 7783) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |