Provider Demographics
NPI:1669664496
Name:ADAPTIVE TECHNOLOGY CONSULTING, INC.
Entity Type:Organization
Organization Name:ADAPTIVE TECHNOLOGY CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:YARNALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-462-3817
Mailing Address - Street 1:PO BOX 778
Mailing Address - Street 2:ADAPTIVE TECHNOLOGY CONSULTING, INC.
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-0017
Mailing Address - Country:US
Mailing Address - Phone:978-462-3817
Mailing Address - Fax:978-462-3928
Practice Address - Street 1:102 BRIDGE RD
Practice Address - Street 2:ADAPTIVE TECHNOLOGY CONSULTING, INC.
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-2414
Practice Address - Country:US
Practice Address - Phone:978-462-3817
Practice Address - Fax:978-462-3928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty