Organization
TEACH US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA TAYLOR BCBA / LABA (EXECUTIVE DIRECTOR)
(508) 887-1652
Entity
Organization
Contact information
Practice address
21 CHARNOCK HILL RD, RUTLAND, MA 01543
(508) 887-1652
Mailing address
21 CHARNOCK HILL RD, RUTLAND, MA 01543
(508) 887-1652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
848
MA
Other
Enumeration date
02/10/2017
Last updated
11/08/2023
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