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Organization

PUTTING THE PIECES TOGETHER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTINA MARIE COLLAZO BCBA (OWNER)
(978) 870-3927
Entity
Organization

Contact information

Practice address
27 HAGER PARK RD, WESTMINSTER, MA 01473-1523
(978) 870-3927
Mailing address
27 HAGER PARK RD, WESTMINSTER, MA 01473-1523
(978) 870-3927

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1543
MA
106S00000X
Behavior Technician

Other

Enumeration date
06/23/2018
Last updated
01/13/2025
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