Provider Demographics
NPI:1205908696
Name:APPLIED BEHAVIORAL ASSOC LLC
Entity type:Organization
Organization Name:APPLIED BEHAVIORAL ASSOC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NATOLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC BCBA LABA
Authorized Official - Phone:508-485-5300
Mailing Address - Street 1:277 MAIN ST STE 308
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-5520
Mailing Address - Country:US
Mailing Address - Phone:508-485-5300
Mailing Address - Fax:508-485-5353
Practice Address - Street 1:277 MAIN ST STE 308
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-5520
Practice Address - Country:US
Practice Address - Phone:508-485-5300
Practice Address - Fax:508-485-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty