Organization
GREEN VALLEY BEHAVIOR ANALYSTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WEINBERG BCBA (CLINICAL DIRECTOR; CEO)
(860) 315-0565
Entity
Organization
Contact information
Practice address
687 N WOODSTOCK RD, SOUTHBRIDGE, MA 01550-2941
(860) 315-0565
(508) 764-1703
Mailing address
687 N WOODSTOCK RD, SOUTHBRIDGE, MA 01550-2941
(860) 315-0565
(508) 764-1703
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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