Organization
HUMANITAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO C GONZALES (ADMINISTRATOR)
(774) 279-2149
Entity
Organization
Contact information
Practice address
63 NONANTUM ST, BRIGHTON, MA 02135-2470
(857) 763-4200
Mailing address
75 STATE ST STE 100, BOSTON, MA 02109-1826
(857) 763-4200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/28/2022
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