MEDICARE: BUILDING ESSENTIAL SKILLS TOGETHER

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	235Z00000X	Speech-Language Pathologist
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1750894309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUILDING ESSENTIAL SKILLS TOGETHER

Provider Business Mailing Address
First Line	:	100 TREBLE COVE RD
Second Line	:
City	:	NORTH BILLERICA
State	:	MA
Zip	:	01862-2231
Country	:	US
Telephone Number	:	508-233-2308
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 TREBLE COVE RD
Second Line	:
City	:	NORTH BILLERICA
State	:	MA
Zip	:	01862-2231
Country	:	US
Telephone Number	:	508-233-2308
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	REBECCA SANTOS
Credential	:	BCBA, LABA
Telephone Number	:	781-831-2853

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	07/13/2023

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Directions to “BUILDING ESSENTIAL SKILLS TOGETHER ” Practice Location

Language	Start Address	Practice Location

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