Sisterhood On The Move | |
47 Orlando St Mattapan MA 02126-1722 | |
(617) 296-5976 | |
Not Available |
Full Name | Sisterhood On The Move |
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Speciality | Behavior Analyst |
Location | 47 Orlando St, Mattapan, Massachusetts |
Authorized Official Name and Position | Nia Imani (PRESIDENT) |
Authorized Official Contact | 6172965976 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sisterhood On The Move 47 Orlando St Mattapan MA 02126-1722 Ph: (617) 296-5976 | Sisterhood On The Move 47 Orlando St Mattapan MA 02126-1722 Ph: (617) 296-5976 |
NPI Number | 1083942049 |
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Provider Enumeration Date | 12/02/2009 |
Last Update Date | 12/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083942049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | 103K00000X (Massachusetts) | Primary |
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