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Organization
OUR CHILD THERAPY MA LLC
Active
Organization
OUR CHILD THERAPY MA LLC
Active
Parent organization
OUR CHILD THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR CHILD THERAPY LLC
Authorized official
MASHE MOSHE (OWNER)
(848) 226-4806
Entity
Organization
Contact information
Practice address
867 BOYLSON STREET, BOSTON, MA 02116
(917) 974-9300
Mailing address
211 BLVD OF THE AMERICAS, SUITE 303, LAKEWOOD, NJ 08701
(917) 974-9300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/17/2022
Last updated
10/25/2023
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