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Organization

RECREATIONAL BEHAVIOR THERAPY AND RESPITE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALFRED JOHN FRUGOLI (CHIEF EXECUTIVE OFFICER)
(781) 650-5172
Entity
Organization

Contact information

Practice address
396 WASHINGTON ST # 287, WELLESLEY, MA 02481-6209
(802) 355-7369
Mailing address
396 WASHINGTON ST # 287, WELLESLEY, MA 02481-6209
(781) 650-7287

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
10/04/2024
Last updated
10/23/2024
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