| NPI | 1912358813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANEY MARIE FRONGILLO Licensed Applied Behavior Analyst 978-387-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 000000964) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 8125) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-05-10 |