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Organization

ZAZRAK, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DESDALIN C. BLACK M.S. ED., BCBA,LABA (CEO/BCBA)
(419) 633-0049
Entity
Organization

Contact information

Practice address
435 LEOMINSTER STREET SUITE 335, LEOMINSTER, MA 01453
(919) 633-0049
(508) 342-7542
Mailing address
46 S. ASHBURNHAM ROAD, WESTMINSLER, MA 01473
(919) 633-0049
(508) 342-7542

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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