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Organization

AUTISM AND BEHAVIORAL CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAYNE PETRIE M.ED., BCBA, LABA (DIRECTOR/OWNER)
(508) 287-4131
Entity
Organization

Contact information

Practice address
15 WHITTIER ST, WINTHROP, MA 02152-1432
(508) 287-4131
Mailing address
15 WHITTIER ST, WINTHROP, MA 02152-1432
(508) 287-4131

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
645
MA

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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