Organization
MARY BANIA BEHAVIORAL CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY TERESA BANIA BCBA, LABA (OWNER/BCBA)
(508) 873-5414
Entity
Organization
Contact information
Practice address
6 ISAAC MILLER RD, WESTBOROUGH, MA 01581-3605
(508) 873-5414
Mailing address
6 ISAAC MILLER RD, WESTBOROUGH, MA 01581-3605
(508) 873-5414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000001083
MA
Other
Enumeration date
02/03/2017
Last updated
04/17/2018
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