Organization
ROCK ISLAND SPECIAL EDUCATION & BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN FARRAR BCBA, LABA (BCBA/OWNER)
(617) 633-0371
Entity
Organization
Contact information
Practice address
34 ANTHONY DR, PEMBROKE, MA 02359-2129
(617) 633-0371
Mailing address
34 ANTHONY DR, PEMBROKE, MA 02359-2129
(617) 633-0371
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1311
MA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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