Organization
ILAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIELA VARGAS-IRWIN PSY.D., BCBA-D (DIRECTOR)
(781) 619-1515
Entity
Organization
Contact information
Practice address
109 OAK ST STE G, NEWTON, MA 02464-1448
(781) 619-1515
(781) 619-1509
Mailing address
109 OAK ST STE G, NEWTON, MA 02464-1448
(781) 619-1515
(781) 619-1509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
01/12/2011
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