Phoenix Developmental Services, Llc is a
Behavior Analyst based in Randolph, Massachusetts. Phoenix Developmental Services, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
79 Bridle Path Cir, Randolph, Massachusetts. It can be reached at their office (for appointments etc.) via phone at
(617) 407-3666.
NPI number for Phoenix Developmental Services, Llc is 1528911773 and their current mailing address is 79 Bridle Path Cir, Randolph, Massachusetts. Phoenix Developmental Services, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1528911773.
Healthcare Provider's Profile
| Full Name | Phoenix Developmental Services, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 79 Bridle Path Cir, Randolph, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528911773
- Provider Enumeration Date: 02/17/2026
- Last Update Date: 02/17/2026
Medical Identifiers
Medical identifiers for Phoenix Developmental Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528911773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phoenix Developmental Services, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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