| New England Behavior Specialty Pllc | |
|
119 Russell St Suite 30 Littleton MA 01460-1274 | |
| (978) 679-1200 | |
| (978) 486-4037 |
| Full Name | New England Behavior Specialty Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 119 Russell St, Littleton, Massachusetts |
| Authorized Official Name and Position | Jessica Hennessey (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9785770437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Behavior Specialty Pllc 119 Russell St Suite 30 Littleton MA 01460-1274 Ph: (978) 679-1200 | New England Behavior Specialty Pllc 119 Russell St Suite 30 Littleton MA 01460-1274 Ph: (978) 679-1200 |
| NPI Number | 1063802098 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063802098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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