Organization
HOME BASED AUTISM THERAPY
Active
Other names
AUTISM HOME CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEGGAH GHISHIJOH (OFFICE MANAGER)
(774) 330-9846
Entity
Organization
Contact information
Practice address
158 MAIN ST, SPENCER, MA 01562-2260
(774) 330-9846
Mailing address
158 MAIN ST, SPENCER, MA 01562-2260
(774) 330-9846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7244
CT
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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