Provider Demographics
NPI:1255776548
Name:ABS BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ABS BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:EM
Authorized Official - Last Name:BURCHILL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:508-230-0072
Mailing Address - Street 1:4 BEVERLY CV
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-2677
Mailing Address - Country:US
Mailing Address - Phone:508-320-0072
Mailing Address - Fax:508-310-5731
Practice Address - Street 1:4 BEVERLY CV
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-2677
Practice Address - Country:US
Practice Address - Phone:508-320-0072
Practice Address - Fax:508-310-5731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty