| Empowered Kids Llc | |
|
167 Prospect Street Ext Westfield MA 01085-1567 | |
| (413) 636-3719 | |
| Not Available |
| Full Name | Empowered Kids Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 167 Prospect Street Ext, Westfield, Massachusetts |
| Authorized Official Name and Position | Heather Prouty (BCBA/OWNER) |
| Authorized Official Contact | 4136363719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Kids Llc 167 Prospect Street Ext Westfield MA 01085-1567 Ph: (413) 636-3719 | Empowered Kids Llc 167 Prospect Street Ext Westfield MA 01085-1567 Ph: (413) 636-3719 |
| NPI Number | 1720569221 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 08/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720569221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 2236 (Massachusetts) | Primary |
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