| Bricks-n-blocks Aba | |
|
95 Lafayette St Randolph MA 02368-3415 | |
| (781) 228-0145 | |
| Not Available |
| Full Name | Bricks-n-blocks Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 95 Lafayette St, Randolph, Massachusetts |
| Authorized Official Name and Position | Calvin Stanley (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7812280145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bricks-n-blocks Aba 95 Lafayette St Randolph MA 02368-3415 Ph: (781) 228-0145 | Bricks-n-blocks Aba 95 Lafayette St Randolph MA 02368-3415 Ph: (781) 228-0145 |
| NPI Number | 1639951189 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639951189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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