Healthcare Provider Details

I. General information

NPI: 1518765460
Provider Name (Legal Business Name): HELPFUL HEARTS CHILD DEVELOPMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HAYWARD ST
HALIFAX MA
02338-1803
US

IV. Provider business mailing address

75 HAYWARD ST
HALIFAX MA
02338-1803
US

V. Phone/Fax

Practice location:
  • Phone: 508-858-6409
  • Fax:
Mailing address:
  • Phone: 508-858-6409
  • 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 Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIANNE FONSECA
Title or Position: FOUNDER
Credential: RN
Phone: 508-858-6409