| Bay State Aba, Llc | |
|
40 Tremont St Ste 63 Duxbury MA 02332-5316 | |
| (781) 987-4107 | |
| (866) 389-7486 |
| Full Name | Bay State Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 40 Tremont St Ste 63, Duxbury, Massachusetts |
| Authorized Official Name and Position | Jason Despier (OWNER, LABA) |
| Authorized Official Contact | 7819874107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay State Aba, Llc 40 Tremont St Ste 63 Duxbury MA 02332-5316 Ph: (781) 987-4107 | Bay State Aba, Llc 40 Tremont St Ste 63 Duxbury MA 02332-5316 Ph: (781) 987-4107 |
| NPI Number | 1902366479 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902366479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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