| Vanguard Growth Alliance Llc | |
|
632 Washington St Unit C1 Braintree MA 02184-5738 | |
| (413) 404-7992 | |
| Not Available |
| Full Name | Vanguard Growth Alliance Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 632 Washington St Unit C1, Braintree, Massachusetts |
| Authorized Official Name and Position | Yijun Chen (MANAGER) |
| Authorized Official Contact | 4134047992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Growth Alliance Llc 632 Washington St Unit C1 Braintree MA 02184-5738 Ph: (413) 404-7992 | Vanguard Growth Alliance Llc 632 Washington St Unit C1 Braintree MA 02184-5738 Ph: (413) 404-7992 |
| NPI Number | 1346948437 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346948437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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