# 1722 BEHAVIOR & COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346978491
- **Authorized official:** DARYLE JOEL ROBERTS RBT (CHIEF OPERATING OFFICE)
- **Authorized official phone:** (774) 570-0431

## Contact information

- **Practice address:** 7 HAZELWOOD RD, WORCESTER, MA 01609-1550
- **Practice address phone:** (774) 570-0431
- **Mailing address:** 7 HAZELWOOD RD, WORCESTER, MA 01609-1550
- **Mailing address phone:** (774) 570-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 09/11/2025