Organization
ABA THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA-JO MURPHY LABA (PRESIDENT)
(978) 494-2781
Entity
Organization
Contact information
Practice address
245 NORTH ST, STONEHAM, MA 02180-2109
(781) 435-1765
(781) 435-1765
Mailing address
245 NORTH ST, STONEHAM, MA 02180-2109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2189
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000BA0666
BLUE CROSS BLUE SHIELD
MA
01
—
961496
BEACON HEALTH OPTIONS
MA
Enumeration date
01/29/2018
Last updated
01/29/2018
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