| Advanced Autism Services Ma Llc | |
|
240 Elm St Fl 2 Somerville MA 02144-2935 | |
| (602) 584-9860 | |
| Not Available |
| Full Name | Advanced Autism Services Ma Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 240 Elm St Fl 2, Somerville, Massachusetts |
| Authorized Official Name and Position | Malka Hersko (VP) |
| Authorized Official Contact | 6025849860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Autism Services Ma Llc 36 Airport Rd Ste 105 Lakewood NJ 08701-7034 Ph: (602) 584-9860 | Advanced Autism Services Ma Llc 240 Elm St Fl 2 Somerville MA 02144-2935 Ph: (602) 584-9860 |
| NPI Number | 1659012243 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659012243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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