Mieljade Behavioral Health, LLC

NPI #1922880137 in Worcester, Massachusetts

Provider Information

NPI Number: 1922880137
Entity Type: Organization
Organization Name: Mieljade Behavioral Health, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 23, 2023
Last Updated: Oct 25, 2023

Practice Location

Address: 26 UTICA DR
City: Worcester
State: Massachusetts
ZIP Code: 01603-1623
Phone: (774) 420-8760

Authorized Official

Name: GIFTY AMPAW, PSYD, BCBA, LABA
Title: CEO
Phone: (774) 420-8760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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