Organization
ABACS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HERSCOVITCH (PROGRAM DIRECTOR/OWNER)
(617) 505-6183
Entity
Organization
Contact information
Practice address
10 GILL STREET, SUITE J, WOBURN, MA 01801
(860) 448-5219
Mailing address
140 WILLARD STREET, APT 22, LOWELL, MA 01850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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