Healthcare Provider Details

I. General information

NPI: 1891322657
Provider Name (Legal Business Name): AUTISM BEHAVIORAL LINKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 CONCORD ST
FRAMINGHAM MA
01701-4613
US

IV. Provider business mailing address

945 CONCORD ST
FRAMINGHAM MA
01701-4613
US

V. Phone/Fax

Practice location:
  • Phone: 508-955-3995
  • Fax: 508-784-6686
Mailing address:
  • Phone: 774-253-1560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: IAN NYAGA GATHECA
Title or Position: FOUNDER
Credential:
Phone: 508-955-3995