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Organization

PHOENIX DEVELOPMENTAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A GRIGORE BCBA (OWNER/CEO)
(617) 407-3666
Entity
Organization

Contact information

Practice address
79 BRIDLE PATH CIR, RANDOLPH, MA 02368-4453
(617) 407-3666
Mailing address
79 BRIDLE PATH CIR, RANDOLPH, MA 02368-4453
(617) 407-3666

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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