| Evolve Aba | |
|
619 South St Fl 2 Fitchburg MA 01420-6248 | |
| (774) 823-5016 | |
| Not Available |
| Full Name | Evolve Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 619 South St Fl 2, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Sean Daly (OWNER) |
| Authorized Official Contact | 7748235016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Aba 619 South St Fl 2 Fitchburg MA 01420-6248 Ph: () - | Evolve Aba 619 South St Fl 2 Fitchburg MA 01420-6248 Ph: (774) 823-5016 |
| NPI Number | 1477188845 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477188845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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