| Start Line Behavioral Health, Llc | |
|
29 Holden St Attleboro MA 02703-1717 | |
| (774) 217-4558 | |
| Not Available |
| Full Name | Start Line Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 29 Holden St, Attleboro, Massachusetts |
| Authorized Official Name and Position | Mark Furtado (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7742174558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Start Line Behavioral Health, Llc 35 Main St Ste 8 Hopkinton MA 01748-1343 Ph: (774) 217-4558 | Start Line Behavioral Health, Llc 29 Holden St Attleboro MA 02703-1717 Ph: (774) 217-4558 |
| NPI Number | 1821676891 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 08/10/2024 |
| Certification Date | 08/10/2024 |
| Medicare PECOS PAC ID | 1759816804 |
|---|---|
| Medicare Enrollment ID | O20241126001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821676891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark E Furtado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528363769 PECOS PAC ID: 2961789557 Enrollment ID: I20170509001372 |
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