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Organization
NEW ENGLAND SPECIALTY CARE SERVICES LLC
Active
Organization
NEW ENGLAND SPECIALTY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KOFFLER (EXECUTIVE DIRECTOR)
(415) 290-1278
Entity
Organization
Contact information
Practice address
76 KINGSWOOD RD, AUBURNDALE, MA 02466-1013
(415) 290-1278
Mailing address
76 KINGSWOOD RD, AUBURNDALE, MA 02466-1013
(415) 290-1278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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