Organization
BLACKBURN ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBERT BLACKBURN JR. (CO-DIRECTOR)
(603) 921-6610
Entity
Organization
Contact information
Practice address
762 WELLMAN AVE, NORTH CHELMSFORD, MA 01863-1354
(603) 921-6610
Mailing address
762 WELLMAN AVE, NORTH CHELMSFORD, MA 01863-1354
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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