Home Based Autism Therapy
NPI #1851796213 in Spencer, Massachusetts
Provider Information
- NPI Number
- 1851796213
- Entity Type
- Organization
- Organization Name
- Home Based Autism Therapy
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 28, 2014
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 158 MAIN ST
- City
- Spencer
- State
- Massachusetts
- ZIP Code
- 01562-2260
- Phone
- (774) 330-9846
Authorized Official
- Name
- MR. KEGGAH GHISHIJOH
- Title
- OFFICE MANAGER
- Phone
- (774) 330-9846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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