| Therapeutic Behavioral Interventions | |
|
159 Main St Ste M Agawam MA 01001-1804 | |
| (413) 348-6967 | |
| Not Available |
| Full Name | Therapeutic Behavioral Interventions |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 159 Main St Ste M, Agawam, Massachusetts |
| Authorized Official Name and Position | Kristen Ann Kocot (CEO/FOUNDER) |
| Authorized Official Contact | 4133486967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Behavioral Interventions 159 Main St Ste M Agawam MA 01001-1804 Ph: (413) 348-6967 | Therapeutic Behavioral Interventions 159 Main St Ste M Agawam MA 01001-1804 Ph: (413) 348-6967 |
| NPI Number | 1396221701 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396221701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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