| Zazrak, Incorporated | |
|
435 Leominster Street Suite 335 Leominster MA 01453 | |
| (919) 633-0049 | |
| (508) 342-7542 |
| Full Name | Zazrak, Incorporated |
|---|---|
| Speciality | Behavior Analyst |
| Location | 435 Leominster Street Suite 335, Leominster, Massachusetts |
| Authorized Official Name and Position | Desdalin C. Black (CEO/BCBA) |
| Authorized Official Contact | 4196330049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zazrak, Incorporated 46 S. Ashburnham Road Westminsler MA 01473 Ph: (919) 633-0049 | Zazrak, Incorporated 435 Leominster Street Suite 335 Leominster MA 01453 Ph: (919) 633-0049 |
| NPI Number | 1538705553 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538705553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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