| Boston Behavior Therapy Llc | |
|
300 Trade Center 100 Sylvan Rd Suite 7790 Woburn MA 01801-1883 | |
| (781) 281-0213 | |
| (781) 281-0764 |
| Full Name | Boston Behavior Therapy Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 300 Trade Center 100 Sylvan Rd, Woburn, Massachusetts |
| Authorized Official Name and Position | Tracy Vandermerwe (OFFICE MANAGER) |
| Authorized Official Contact | 6035802337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Behavior Therapy Llc 300 Trade Center 100 Sylvan Rd Suite 7790 Woburn MA 01801-1883 Ph: (781) 281-0213 | Boston Behavior Therapy Llc 300 Trade Center 100 Sylvan Rd Suite 7790 Woburn MA 01801-1883 Ph: (781) 281-0213 |
| NPI Number | 1780995332 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780995332 | NPI | - | NPPES |
| 1124356233 | Other | MA | SOLO NPI |
| 1104053933 | Other | MA | SOLO NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4233 (Massachusetts) | Primary |
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