| NPI | 1679015531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY CAROL PETERS Executive Director 508-431-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 000000873) |
| Additional Taxonomies | 251S00000X (Licence: MA 000000873) |
| 252Y00000X Early Intervention Provider Agency (Licence: MA 000000873) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MA 000000873) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |