| Aquatic Behavior, Llc | |
|
4 Kimball Ct Apt 306 Woburn MA 01801-6969 | |
| (860) 919-2209 | |
| (617) 401-8756 |
| Full Name | Aquatic Behavior, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4 Kimball Ct Apt 306, Woburn, Massachusetts |
| Authorized Official Name and Position | Edward Sanabria (OWNER) |
| Authorized Official Contact | 8609192209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquatic Behavior, Llc 4 Kimball Ct Apt 306 Woburn MA 01801-6969 Ph: (860) 919-2209 | Aquatic Behavior, Llc 4 Kimball Ct Apt 306 Woburn MA 01801-6969 Ph: (860) 919-2209 |
| NPI Number | 1235652587 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235652587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1018 (Massachusetts) | Primary |
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