Organization
DIVINE COMMUNITY CARE (ABA THERAPY), INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULAIMAN ABASS KAMARA (OWNER)
(508) 375-8333
Entity
Organization
Contact information
Practice address
300 W MAIN ST STE 104, NORTHBOROUGH, MA 01532-2132
(508) 375-8333
Mailing address
300 W MAIN ST STE 104, NORTHBOROUGH, MA 01532-2132
(508) 375-8333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001543112
SECRETARY OF STATE
MA
Enumeration date
03/18/2022
Last updated
03/18/2022
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