Foundation Lane, Llc. | |
9 Thompson Ave Westwood MA 02090-2928 | |
(508) 688-4695 | |
(781) 899-0755 |
Full Name | Foundation Lane, Llc. |
---|---|
Speciality | Behavior Analyst |
Location | 9 Thompson Ave, Westwood, Massachusetts |
Authorized Official Name and Position | Janine K Howe (OWNER) |
Authorized Official Contact | 5086884695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foundation Lane, Llc. 9 Thompson Ave Westwood MA 02090-2928 Ph: (508) 688-4695 | Foundation Lane, Llc. 9 Thompson Ave Westwood MA 02090-2928 Ph: (508) 688-4695 |
NPI Number | 1023445020 |
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Provider Enumeration Date | 10/04/2013 |
Last Update Date | 06/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023445020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (Massachusetts) | Primary |
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