Provider Demographics
NPI:1235579962
Name:BARON, RICHARD HARRIS
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:HARRIS
Last Name:BARON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 WILDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5125
Mailing Address - Country:US
Mailing Address - Phone:339-364-9826
Mailing Address - Fax:
Practice Address - Street 1:80 WILDWOOD RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5125
Practice Address - Country:US
Practice Address - Phone:339-364-9826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst