| Quest Aba, LLC | |
|
21 Charnock Hill Rd Rutland MA 01543-1111 | |
| (508) 769-3087 | |
| (508) 267-2678 |
| Full Name | Quest Aba, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21 Charnock Hill Rd, Rutland, Massachusetts |
| Authorized Official Name and Position | Jason Taylor (PRACTICE MANAGER) |
| Authorized Official Contact | 5087693087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Aba, LLC 21 Charnock Hill Rd Rutland MA 01543-1111 | Quest Aba, LLC 21 Charnock Hill Rd Rutland MA 01543-1111 Ph: (508) 769-3087 |
| NPI Number | 1811613847 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811613847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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