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Organization

INNOVATIVE AUTISM CONNECTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH LISON BCBA (CHIEF INNOVATIVE EXECUTIVE OFFICER)
(774) 270-1766
Entity
Organization

Contact information

Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(774) 270-1766
(508) 861-0206
Mailing address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(774) 270-1766
(508) 861-0206

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
869
MA

Other

Enumeration date
10/18/2017
Last updated
07/30/2019
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