| Phoenix Developmental Services, Llc | |
|
79 Bridle Path Cir Randolph MA 02368-4453 | |
| (617) 407-3666 | |
| Not Available |
| Full Name | Phoenix Developmental Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 79 Bridle Path Cir, Randolph, Massachusetts |
| Authorized Official Name and Position | Robert A Grigore (OWNER/CEO) |
| Authorized Official Contact | 6174073666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Developmental Services, Llc 79 Bridle Path Cir Randolph MA 02368-4453 Ph: (617) 407-3666 | Phoenix Developmental Services, Llc 79 Bridle Path Cir Randolph MA 02368-4453 Ph: (617) 407-3666 |
| NPI Number | 1528911773 |
|---|---|
| Provider Enumeration Date | 02/17/2026 |
| Last Update Date | 02/17/2026 |
| Certification Date | 02/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528911773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
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