Organization
MAKE A DIFFERENCE IN CHILDREN BEHAVIORAL CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN NICHOLSON M.S. ED., BCBA (CLINICAL DIRECTOR)
(508) 455-2402
Entity
Organization
Contact information
Practice address
20 LOIS CT, ATTLEBORO, MA 02703-6733
(508) 455-2379
(508) 455-2379
Mailing address
20 LOIS CT, ATTLEBORO, MA 02703-6733
(508) 455-2379
(508) 455-2379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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