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NPI Code Detail

MEDICARE: SPRING VALLEY BEHAVIORAL CONSULTANTS LLC

MEDICARE: SPRING VALLEY BEHAVIORAL CONSULTANTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1235701681
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING VALLEY BEHAVIORAL CONSULTANTS LLC
Provider Business Mailing Address
First Line : 35 VILLAGE RD STE 100
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-1238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35 VILLAGE RD STE 100
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-1238
Country : US
Telephone Number : 978-560-3450
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MAUREEN KAMAU
Credential : BCBA/LABA
Telephone Number : 978-560-3450
Provider Enumeration Date : 07/14/2021
Last Update Date : 07/14/2021

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Directions to “SPRING VALLEY BEHAVIORAL CONSULTANTS LLC ” Practice Location

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