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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
TESSA KOLFF BCBA (DIRECTOR AND FOUNDER)
(781) 674-0000
Entity
Organization

Contact information

Practice address
183 BEDFORD ST, LEXINGTON, MA 02420-4428
(781) 674-0000
Mailing address
183 BEDFORD ST, LEXINGTON, MA 02420-4428

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1510
MA

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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