| On Cape Aba Llc | |
|
11 Blackberry Ln Dennis MA 02638-2507 | |
| (508) 468-0196 | |
| Not Available |
| Full Name | On Cape Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11 Blackberry Ln, Dennis, Massachusetts |
| Authorized Official Name and Position | Lauren Horton (BCBA/OWNER) |
| Authorized Official Contact | 5084680196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Cape Aba Llc 11 Blackberry Ln Dennis MA 02638-2507 Ph: (508) 468-0196 | On Cape Aba Llc 11 Blackberry Ln Dennis MA 02638-2507 Ph: (508) 468-0196 |
| NPI Number | 1275408338 |
|---|---|
| Provider Enumeration Date | 10/08/2025 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275408338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Kelly Collaborative Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 Route 6a, Dennis, MA 02638 Phone: 773-487-7647 |