| Ilan, Inc | |
|
109 Oak St Ste G Newton MA 02464-1448 | |
| (781) 619-1515 | |
| (781) 619-1509 |
| Full Name | Ilan, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 109 Oak St Ste G, Newton, Massachusetts |
| Authorized Official Name and Position | Mariela Vargas-irwin (DIRECTOR) |
| Authorized Official Contact | 7816191515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilan, Inc 109 Oak St Ste G Newton MA 02464-1448 Ph: (781) 619-1515 | Ilan, Inc 109 Oak St Ste G Newton MA 02464-1448 Ph: (781) 619-1515 |
| NPI Number | 1598066516 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598066516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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