| NPI | 1922763655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA PAUL Billing Supervisor 508-455-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2022-04-14 |