| Kennedy-donovan Center, Inc Aba Services | |
| 
					1 Commercial Street Foxboro MA 02035  | |
| (508) 772-1270 | |
| (508) 203-8717 | 
| Full Name | Kennedy-donovan Center, Inc Aba Services | 
|---|---|
| Speciality | Behavior Analyst | 
| Location | 1 Commercial Street, Foxboro, Massachusetts | 
| Authorized Official Name and Position | Aubrey Macfarlane (PRESIDENT/ CEO) | 
| Authorized Official Contact | 5087721200 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kennedy-donovan Center, Inc Aba Services 1 Commercial Street Foxboro MA 02035 Ph: (508) 772-1270  | Kennedy-donovan Center, Inc Aba Services 1 Commercial Street Foxboro MA 02035 Ph: (508) 772-1270  | 
| NPI Number | 1144695420 | 
|---|---|
| Provider Enumeration Date | 12/11/2015 | 
| Last Update Date | 07/21/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144695420 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103K00000X | Behavior Analyst | 95 (Massachusetts) | Secondary | 
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary | 
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