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Organization
HOME BASED AUTISM THERAPY
Active
Organization
HOME BASED AUTISM THERAPY
Active
Other names
AUTISM HOME CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEGGAH GHISHIJOH (OFFICE MANAGER)
(774) 330-9846
Entity
Organization
Contact information
Practice address
158 MAIN ST, SPENCER, MA 01562-2260
(774) 330-9846
Mailing address
158 MAIN ST, SPENCER, MA 01562-2260
(774) 330-9846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7244
CT
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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