Empowered Kids Llc | |
167 Prospect Street Ext Westfield MA 01085-1567 | |
(413) 636-3719 | |
Not Available |
Full Name | Empowered Kids Llc |
---|---|
Speciality | Behavior Analyst |
Location | 167 Prospect Street Ext, Westfield, Massachusetts |
Authorized Official Name and Position | Heather Prouty (BCBA/OWNER) |
Authorized Official Contact | 4136363719 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Empowered Kids Llc 167 Prospect Street Ext Westfield MA 01085-1567 Ph: (413) 636-3719 | Empowered Kids Llc 167 Prospect Street Ext Westfield MA 01085-1567 Ph: (413) 636-3719 |
NPI Number | 1720569221 |
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Provider Enumeration Date | 08/23/2018 |
Last Update Date | 08/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720569221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 2236 (Massachusetts) | Primary |
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