Provider Demographics
NPI:1689325375
Name:THIRDNESS LLC
Entity Type:Organization
Organization Name:THIRDNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNET
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD REX
Authorized Official - Middle Name:LADRIDO
Authorized Official - Last Name:KINTANAR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:617-444-9018
Mailing Address - Street 1:512 PARK DR UNIT 15015
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5601
Mailing Address - Country:US
Mailing Address - Phone:617-444-9018
Mailing Address - Fax:
Practice Address - Street 1:185 BAY STATE RD
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1506
Practice Address - Country:US
Practice Address - Phone:617-444-9018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty