Supportive Behavioral Care of Mass LLC

NPI #1932914223 in Stoneham, Massachusetts

Provider Information

NPI Number: 1932914223
Entity Type: Organization
Organization Name: Supportive Behavioral Care of Mass LLC
Primary Specialty: Psychologist
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 11 NORTH ST
City: Stoneham
State: Massachusetts
ZIP Code: 02180-1040
Phone: (718) 506-1115

Authorized Official

Name: RAPHAEL LICHTSCHEIN
Title: PRESIDENT
Phone: (718) 298-4375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X
Psychologist	103T00000X	Primary

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