| Imprints Aba Services | |
|
8 Blue Jay Ln Raynham MA 02767-6139 | |
| (339) 788-7980 | |
| Not Available |
| Full Name | Imprints Aba Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8 Blue Jay Ln, Raynham, Massachusetts |
| Authorized Official Name and Position | Cory Mitchell (OWNER, BCBA, LABA) |
| Authorized Official Contact | 3397887980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imprints Aba Services 8 Blue Jay Ln Raynham MA 02767-6139 Ph: (339) 788-7980 | Imprints Aba Services 8 Blue Jay Ln Raynham MA 02767-6139 Ph: (339) 788-7980 |
| NPI Number | 1932853256 |
|---|---|
| Provider Enumeration Date | 02/06/2022 |
| Last Update Date | 02/06/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932853256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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