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NPI Code Detail

MEDICARE: CHILDREN MAKING STRIDES LLC

MEDICARE: CHILDREN MAKING STRIDES 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1942520770
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN MAKING STRIDES LLC
Provider Business Mailing Address
First Line : 6 RESNIK RD STE 210
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5379
Country : US
Telephone Number : 508-563-5767
Fax Number : 508-563-5774
Provider Business Practice Location Address
First Line : 6 RESNIK RD STE 210
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5379
Country : US
Telephone Number : 508-563-5767
Fax Number : 508-563-5774
Authorized Official
Title or Position : DIRECTOR
Name : CHAIM FISKUS
Credential :
Telephone Number : 508-563-5767
Provider Enumeration Date : 06/03/2010
Last Update Date : 08/10/2023

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Directions to “CHILDREN MAKING STRIDES LLC ” Practice Location

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