Organization
MY STOMPING GROUND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WOOD (PRESIDENT)
(978) 549-0361
Entity
Organization
Contact information
Practice address
330 HIGHLAND AVE, PHILLIPSTON, MA 01331-9764
(978) 549-0361
Mailing address
12 ROYALSTON RD, PHILLIPSTON, MA 01331-9401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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