Organization
ADVANCED AUTISM SERVICES MA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALKA HERSKO MS (VP)
(602) 584-9860
Entity
Organization
Contact information
Practice address
240 ELM ST FL 2, SOMERVILLE, MA 02144-2935
(602) 584-9860
Mailing address
36 AIRPORT RD STE 105, LAKEWOOD, NJ 08701-7034
(602) 584-9860
(602) 715-1135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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