MEDICARE: EMPIRICAL ABA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1205797602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPIRICAL ABA LLC

Provider Business Mailing Address
First Line	:	20 ROCHE BROTHERS WAY STE 6-179
Second Line	:
City	:	NORTH EASTON
State	:	MA
Zip	:	02356-1030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 ROCHE BROTHERS WAY STE 6-179
Second Line	:
City	:	NORTH EASTON
State	:	MA
Zip	:	02356-1030
Country	:	US
Telephone Number	:	774-262-8998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAITLIN KASK
Credential	:	MS, BCBA, LABA
Telephone Number	:	860-490-7334

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	12/14/2025

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