| NPI | 1710489091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN BENNETT Owner/Psychologist/Bcba 781-591-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9400) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 489) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |