| Innovative Autism Connections, Llc | |
|
132 Robbs Hill Rd Lunenburg MA 01462-2167 | |
| (774) 270-1766 | |
| (508) 861-0206 |
| Full Name | Innovative Autism Connections, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 132 Robbs Hill Rd, Lunenburg, Massachusetts |
| Authorized Official Name and Position | Elizabeth Lison (CHIEF INNOVATIVE EXECUTIVE OFFICER) |
| Authorized Official Contact | 7742701766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Autism Connections, Llc 132 Robbs Hill Rd Lunenburg MA 01462-2167 Ph: (774) 270-1766 | Innovative Autism Connections, Llc 132 Robbs Hill Rd Lunenburg MA 01462-2167 Ph: (774) 270-1766 |
| NPI Number | 1417468364 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417468364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 869 (Massachusetts) | Primary |
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