Organization
SOUTHEASTERN ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA L TEN EYCK M.S. BCBA (OWNER)
(508) 212-4643
Entity
Organization
Contact information
Practice address
116 HELEN DR, HANSON, MA 02341-1207
(508) 212-4643
Mailing address
116 HELEN DR, HANSON, MA 02341-1207
(508) 212-4643
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/15/2015
Last updated
09/02/2015
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