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General NPI Number Information
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NPI Number | 1467364554
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Entity Type | Organization
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Legal Business Name | GENESIS BEHAVIORAL HEALTH AND DEVELOPMENT LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 21H OLYMPIA AVE
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City | WOBURN
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State | MA
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Zip | 01801-6307
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Country | US
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Telephone | 857-363-0820
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Fax |
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Provider Business Mailing Address
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Address Line | 85 CLARENDON AVE
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City | LYNN
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State | MA
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Zip | 01902-1573
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Country | US
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Telephone | 857-363-0820
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | JENNIFER CALEGARI
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Credential |
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Telephone | 781-606-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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