Northeast ABA Services, LLC

Organization Active NPI Behavior Analyst · Southwick, MA

NPI 1134635907 · NPPES record last updated Dec 15, 2017

Key facts

NPI
1134635907
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
License
1691 (MA)
Legal business name
NORTHEAST ABA SERVICES, LLC
Practice address
145 Feeding Hills Rd
Southwick, MA 01077-9588
Phone
(413) 244-1732
NPI assigned
Dec 15, 2017
Organization subpart
No

Authorized official

Name
Diane Marie Juzba NPI 1851820179
Title
Bcba, Owner
Phone
(413) 244-1732

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193200000X MULTI-SPECIALTY GROUP
103K00000X 1691 MA Yes

Addresses

Primary practice location

145 Feeding Hills Rd
Southwick, MA 01077-9588

Mailing address

145 Feeding Hills Rd
Southwick, MA 01077-9588
Phone (413) 244-1732

Other providers in Southwick, MA

All providers in Southwick, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.