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Organization

APPLIED BEHAVIORAL LEARNING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIELA VARGAS-IRWIN PSY.D., BCBA, LABA (EXECUTIVE DIRECTOR)
(617) 283-1276
Entity
Organization

Contact information

Practice address
1 CHRYSLER RD, APT 1001, NATICK, MA 01760-1650
(617) 283-1276
Mailing address
1 CHRYSLER RD, APT 1001, NATICK, MA 01760-1650
(617) 283-1276

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1002
MA
103K00000X
Behavior Analyst
1123
MA
103K00000X
Behavior Analyst
Primary
749
MA
103K00000X
Behavior Analyst
949
MA
103T00000X
Psychologist
7783
MA

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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