Advanced Autism Services Ma LLC

NPI #1659012243 in Somerville, Massachusetts

Provider Information

NPI Number: 1659012243
Entity Type: Organization
Organization Name: Advanced Autism Services Ma LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 6, 2022
Last Updated: Apr 6, 2022

Practice Location

Address: 240 ELM ST FL 2
City: Somerville
State: Massachusetts
ZIP Code: 02144-2935
Phone: (602) 584-9860

Authorized Official

Name: MALKA HERSKO, MS
Title: VP
Phone: (602) 584-9860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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