Organization
STONEBRIDGE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON ANTHONY DEFALCO PHD, BCBA-D, LABA (OWNER/PRESIDENT)
(508) 287-8692
Entity
Organization
Contact information
Practice address
16 BRIDGE GATE, PLYMOUTH, MA 02360-6377
(508) 287-8692
(508) 591-7886
Mailing address
16 BRIDGE GATE, PLYMOUTH, MA 02360-6377
(508) 287-8692
(508) 591-7886
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1493
—
Other
Enumeration date
08/02/2012
Last updated
08/22/2016
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