| Embracing The Creative Child, Llc | |
|
55 Deer Park Dr East Longmeadow MA 01028-3198 | |
| (413) 525-1500 | |
| Not Available |
| Full Name | Embracing The Creative Child, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 55 Deer Park Dr, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Sarah Gale (OWNER) |
| Authorized Official Contact | 4138014380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing The Creative Child, Llc 55 Deer Park Dr East Longmeadow MA 01028-3198 Ph: (413) 801-4380 | Embracing The Creative Child, Llc 55 Deer Park Dr East Longmeadow MA 01028-3198 Ph: (413) 525-1500 |
| NPI Number | 1285188102 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285188102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 940 (Massachusetts) | Primary |
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