Healthcare Provider Details

I. General information

NPI: 1710664552
Provider Name (Legal Business Name): ABIGAIL ANNE BEHAR LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ABIGAIL ANNE BEHAR

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GREAT PLAIN AVE STE 301
NEEDHAM MA
02492-2522
US

IV. Provider business mailing address

9305 244TH ST SW APT M205
EDMONDS WA
98020-7503
US

V. Phone/Fax

Practice location:
  • Phone: 781-864-1665
  • Fax:
Mailing address:
  • Phone: 781-864-1665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61392470
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: