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Organization
KEY AUTISM SERVICES
Active
Organization
KEY AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFFER PIMENTEL (REGISTERED BEHAVIOR THERAPIST)
(781) 952-4887
Entity
Organization
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 829-4040
Mailing address
24 ARCHER ST APT 1, LYNN, MA 01902-1203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
BEHAVIOR TECHNICIAN
—
Enumeration date
11/29/2018
Last updated
11/29/2018
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