| Humanitas LLC | |
|
63 Nonantum St Brighton MA 02135-2470 | |
| (857) 763-4200 | |
| Not Available |
| Full Name | Humanitas LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 63 Nonantum St, Brighton, Massachusetts |
| Authorized Official Name and Position | Mario C Gonzales (ADMINISTRATOR) |
| Authorized Official Contact | 7742792149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanitas LLC 75 State St Ste 100 Boston MA 02109-1826 Ph: (857) 763-4200 | Humanitas LLC 63 Nonantum St Brighton MA 02135-2470 Ph: (857) 763-4200 |
| NPI Number | 1457084295 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457084295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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