| Lifestream, Inc | |
|
1 Fr Devalles Blvd Fall River MA 02723-1511 | |
| (508) 993-1991 | |
| (508) 674-2952 |
| Full Name | Lifestream, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1 Fr Devalles Blvd, Fall River, Massachusetts |
| Authorized Official Name and Position | Helen Tuttle (SR DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5089931991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestream, Inc Po Box 50487 New Bedford MA 02745-0017 Ph: (508) 993-1991 | Lifestream, Inc 1 Fr Devalles Blvd Fall River MA 02723-1511 Ph: (508) 993-1991 |
| NPI Number | 1558963397 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558963397 | NPI | - | NPPES |
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