Provider Demographics
NPI:1417413816
Name:APPLEBURY BEHAVIOR ASSOCIATES
Entity Type:Organization
Organization Name:APPLEBURY BEHAVIOR ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYNDA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:APPLEBURY
Authorized Official - Suffix:
Authorized Official - Credentials:LABA
Authorized Official - Phone:617-749-8831
Mailing Address - Street 1:234 MERRIAM AVE
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2760
Mailing Address - Country:US
Mailing Address - Phone:617-749-8831
Mailing Address - Fax:617-284-6309
Practice Address - Street 1:234 MERRIAM AVE
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2760
Practice Address - Country:US
Practice Address - Phone:617-749-8831
Practice Address - Fax:617-284-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty