Organization
A NEW LEAF ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER STICKLES BCBA, LABA (OWNER)
(508) 431-8366
Entity
Organization
Contact information
Practice address
64 BEACON STREET, APT C-109, WORCESTER, MA 01608
(508) 431-8366
Mailing address
64 BEACON STREET, APT C-109, WORCESTER, MA 01608
(508) 431-8366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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