Organization
PRIDESTAR CENTER FOR APPLIED LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYN ANN SNOW BCBA/LABA (EXECUTIVE DIRECTOR)
(978) 677-6952
Entity
Organization
Contact information
Practice address
229 STEDMAN ST, LOWELL, MA 01851-2705
(978) 677-6952
Mailing address
229 STEDMAN ST, LOWELL, MA 01851-2705
(978) 677-6952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00123
MA
251S00000X
Community/Behavioral Health Agency
00123
MA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
00123
MA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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