Organization
BEACON ABA SERVICES,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HANAN KOURA (BEHAVIOR THREAPIST)
(781) 346-3223
Entity
Organization
Contact information
Practice address
5111 AVALON DR, WEYMOUTH, MA 02188-4614
(781) 346-3223
Mailing address
5111 AVALON DR, WEYMOUTH, MA 02188-4614
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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