Provider Demographics
NPI:1770887879
Name:HOUGH, PAUL ANDREW SR (BCBA)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ANDREW
Last Name:HOUGH
Suffix:SR
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1317
Mailing Address - Country:US
Mailing Address - Phone:617-293-8457
Mailing Address - Fax:
Practice Address - Street 1:13 SUNSET DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1317
Practice Address - Country:US
Practice Address - Phone:617-293-8457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-06-3171103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst