| Foundational Pathways Learning Center, Llc | |
|
160 Martin Rd Douglas MA 01516-2319 | |
| (774) 364-1975 | |
| Not Available |
| Full Name | Foundational Pathways Learning Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 160 Martin Rd, Douglas, Massachusetts |
| Authorized Official Name and Position | Cassandra J Chizy (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7743641975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundational Pathways Learning Center, Llc 160 Martin Rd Douglas MA 01516-2319 Ph: (774) 364-1975 | Foundational Pathways Learning Center, Llc 160 Martin Rd Douglas MA 01516-2319 Ph: (774) 364-1975 |
| NPI Number | 1528695087 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528695087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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