| NPI | 1679262612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN M ADAMO Owner/ President 617-308-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-04-16 |