Healthcare Provider Details
I. General information
NPI: 1124679543
Provider Name (Legal Business Name): WRAPAROUND FAMILY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2019
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 ACADEMY ST
ARLINGTON MA
02476-6433
US
IV. Provider business mailing address
29 ACADEMY ST
ARLINGTON MA
02476-6433
US
V. Phone/Fax
- Phone: 978-300-2384
- Fax: 781-987-7436
- Phone: 978-300-2384
- Fax: 781-987-7436
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
BENN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 781-799-2438