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Organization
SCAFFOLD: A COMMUNITY OF SUPPORT
Active
Organization
SCAFFOLD: A COMMUNITY OF SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELIN CERULLO PHD, LMHC (CHIEF CLINICAL DIRECTOR)
(781) 264-1435
Entity
Organization
Contact information
Practice address
320 NEVADA ST, NEWTONVILLE, MA 02460-1435
(781) 264-1435
(617) 843-6965
Mailing address
320 NEVADA ST, NEWTONVILLE, MA 02460-1435
(781) 264-1435
(617) 843-6965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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