Organization
BRIGHTLEAF BEHAVIORAL SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HASKINS BCBA (EXECUTIVE CLINICAL DIRECTOR)
(802) 782-6562
Entity
Organization
Contact information
Practice address
121 MONADNOCK ST, GARDNER, MA 01440-2103
(774) 386-4659
Mailing address
121 MONADNOCK ST, GARDNER, MA 01440-2103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/30/2025
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