Organization
CLINICAL AND SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L MOORE (FAMILY SUPPORT WORKER)
(413) 314-7785
Entity
Organization
Contact information
Practice address
17 OFF LARIVIERE AVE, THREE RIVERS, MA 01080-1172
(413) 314-7785
Mailing address
17 OFF LARIVIERE AVE, THREE RIVERS, MA 01080-1172
(413) 314-7785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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