| Concord Aba | |
|
300 Baker Ave Ste 300 Concord MA 01742-2124 | |
| (978) 962-2183 | |
| Not Available |
| Full Name | Concord Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 300 Baker Ave Ste 300, Concord, Massachusetts |
| Authorized Official Name and Position | Jonathan H Bulger (CEO) |
| Authorized Official Contact | 9789622183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Aba 80 S Shaker Rd Harvard MA 01451-1204 Ph: (978) 962-2183 | Concord Aba 300 Baker Ave Ste 300 Concord MA 01742-2124 Ph: (978) 962-2183 |
| NPI Number | 1518588755 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518588755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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