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Organization

ELEMENTAL ABA, INC.

Active
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Organization

ELEMENTAL ABA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN HABCHY BCBA,LABA (CEO, BEHAVIOR ANALYST)
(781) 996-0044
Entity
Organization

Contact information

Practice address
338 RIVER ST, NORWELL, MA 02061-2205
(781) 996-0044
Mailing address
338 RIVER ST, NORWELL, MA 02061-2205
(781) 996-0044

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—

Other

Enumeration date
02/13/2023
Last updated
02/13/2023
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