Organization
PROSPECT ABA SOLUTIONS MA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RICARDO DIAZ MA (PROGRAM DIRECTOR)
(617) 237-2650
Entity
Organization
Contact information
Practice address
28 CHURCH ST STE 14, WINCHESTER, MA 01890-2538
(617) 237-2650
Mailing address
28 CHURCH ST STE 14, WINCHESTER, MA 01890-2538
(617) 237-2650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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