Provider Demographics
NPI:1841908399
Name:BUILDING ESSENTIAL SKILLS TOGETHER
Entity type:Organization
Organization Name:BUILDING ESSENTIAL SKILLS TOGETHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-233-2122
Mailing Address - Street 1:100 TREBLE COVE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2231
Mailing Address - Country:US
Mailing Address - Phone:508-233-2308
Mailing Address - Fax:
Practice Address - Street 1:100 TREBLE COVE RD
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2231
Practice Address - Country:US
Practice Address - Phone:508-233-2308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty