Provider Demographics
NPI:1205501897
Name:JOANNE CRAIG, NEW GROWTH ABA
Entity type:Organization
Organization Name:JOANNE CRAIG, NEW GROWTH ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:LABA, BCBA
Authorized Official - Phone:413-441-7914
Mailing Address - Street 1:52 FEDERAL AVE.
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2121
Mailing Address - Country:US
Mailing Address - Phone:413-441-7914
Mailing Address - Fax:413-351-0227
Practice Address - Street 1:52 FEDERAL AVE.
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2121
Practice Address - Country:US
Practice Address - Phone:413-441-7914
Practice Address - Fax:413-351-0227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty