Provider Demographics
NPI:1679119622
Name:GROW WITH US BEHAVIORAL CONSULTING INCORPORATED
Entity Type:Organization
Organization Name:GROW WITH US BEHAVIORAL CONSULTING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA LABA
Authorized Official - Phone:781-975-6027
Mailing Address - Street 1:7 EMERALD CT
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1907
Mailing Address - Country:US
Mailing Address - Phone:781-975-6027
Mailing Address - Fax:
Practice Address - Street 1:7 EMERALD CT
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1907
Practice Address - Country:US
Practice Address - Phone:781-975-6027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty