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6 Blackstone Valley Pl Bldg 7 Lincoln RI 02865-1179 | |
| (504) 234-7369 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6 Blackstone Valley Pl Bldg 7, Lincoln, Rhode Island |
| Authorized Official Name and Position | Paul Moretti (CEO/OWNER) |
| Authorized Official Contact | 5042347369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
331 Jastram St Providence RI 02908-2119 Ph: (504) 234-7369 | 6 Blackstone Valley Pl Bldg 7 Lincoln RI 02865-1179 Ph: (504) 234-7369 |
| NPI Number | 1063106516 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063106516 | NPI | - | NPPES |
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