Individual
NICHOLAS GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., BCBA-D, LABA
Contact information
Practice address
6 SOUTHSIDE RD, DANVERS, MA 01923-1409
(978) 624-2340
Mailing address
366 CENTER ST, GROVELAND, MA 01834-2106
(508) 509-5907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
590
MA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312677
—
MA
01
—
685661
TUFTS
MA
01
—
M20807
BLUE CROSS
MA
Enumeration date
06/29/2009
Last updated
11/15/2016
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