| Putting The Pieces Together | |
|
91 Webster St Douglas MA 01516-2250 | |
| (978) 870-3927 | |
| Not Available |
| Full Name | Putting The Pieces Together |
|---|---|
| Speciality | Behavior Analyst |
| Location | 91 Webster St, Douglas, Massachusetts |
| Authorized Official Name and Position | Krystina Marie Collazo (OWNER) |
| Authorized Official Contact | 9788703927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Putting The Pieces Together 91 Webster St Douglas MA 01516-2250 Ph: (978) 870-3927 | Putting The Pieces Together 91 Webster St Douglas MA 01516-2250 Ph: (978) 870-3927 |
| NPI Number | 1235624180 |
|---|---|
| Provider Enumeration Date | 06/23/2018 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235624180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1543 (Massachusetts) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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