| The Southcoast Autism Center | |
|
69 Main St Fairhaven MA 02719-2923 | |
| (508) 997-1311 | |
| (508) 997-1312 |
| Full Name | The Southcoast Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 69 Main St, Fairhaven, Massachusetts |
| Authorized Official Name and Position | Sinead Petersen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7742050227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Southcoast Autism Center 9 Douglas Cor Rochester MA 02770-1010 Ph: (774) 205-0227 | The Southcoast Autism Center 69 Main St Fairhaven MA 02719-2923 Ph: (508) 997-1311 |
| NPI Number | 1356718613 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356718613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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