Provider Demographics
NPI:1982291738
Name:PROJECTLIFE SERVICES, LLC
Entity Type:Organization
Organization Name:PROJECTLIFE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:603-235-9429
Mailing Address - Street 1:27 LONG MEADOW FARM DR
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2910
Mailing Address - Country:US
Mailing Address - Phone:603-235-9429
Mailing Address - Fax:
Practice Address - Street 1:27 LONG MEADOW FARM DR
Practice Address - Street 2:
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042-2910
Practice Address - Country:US
Practice Address - Phone:603-235-9429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty