Provider Demographics
NPI:1043107972
Name:LAMACCHIA AUTISM SERVICES
Entity type:Organization
Organization Name:LAMACCHIA AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:LAMACCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:LABA
Authorized Official - Phone:617-974-4908
Mailing Address - Street 1:31 GRANVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2203
Mailing Address - Country:US
Mailing Address - Phone:617-974-4908
Mailing Address - Fax:617-974-4908
Practice Address - Street 1:31 GRANVILLE AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2203
Practice Address - Country:US
Practice Address - Phone:617-974-4908
Practice Address - Fax:617-974-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty