Organization
ABIWORCESTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIS ROOHI (COFOUNDER)
(413) 210-1574
Entity
Organization
Contact information
Practice address
133 PURITAN AVE, WORCESTER, MA 01604-3230
(508) 738-2539
Mailing address
133 PURITAN AVE, WORCESTER, MA 01604-3230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
758
MA
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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