Healthcare Provider Details

I. General information

NPI: 1184448904
Provider Name (Legal Business Name): MEANINGFUL OUTCOMES ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 HARRINGTON ST
EAST BROOKFIELD MA
01515-1708
US

IV. Provider business mailing address

PO BOX 15
EAST BROOKFIELD MA
01515-0015
US

V. Phone/Fax

Practice location:
  • Phone: 413-262-0155
  • Fax:
Mailing address:
  • Phone: 413-262-0155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN ALITZ
Title or Position: CEO
Credential: BCBA, LABA
Phone: 508-499-8061