| Icare Therapy Ma Llc | |
|
529 Main St Suite 200 Charlestown MA 02129 | |
| (866) 588-8829 | |
| Not Available |
| Full Name | Icare Therapy Ma Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 529 Main St Suite 200, Charlestown, Massachusetts |
| Authorized Official Name and Position | Alexander Denciger (MANAGING MEMBER) |
| Authorized Official Contact | 8665888829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Therapy Ma Llc 825 W End Ave New York NY 10025-5349 Ph: () - | Icare Therapy Ma Llc 529 Main St Suite 200 Charlestown MA 02129 Ph: (866) 588-8829 |
| NPI Number | 1770309494 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770309494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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