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A New Leaf Aba, LLC

Behavior Analyst in Worcester, MA. Organization (NPI-2).

NPI number1881467215
StatusActive
Last updated in NPPESNov 7, 2023

Details

NPI
1881467215
Entity type
Organization (NPI-2)
Legal business name
A New Leaf Aba, LLC
Organization subpart
No
Enumeration date
Nov 7, 2023
Last updated
Nov 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106E00000X Assistant Behavior Analyst––
106S00000X Behavior Technician––

Practice location

64 Beacon Street
Apt C-109
Worcester, MA 01608

Phone 508-431-8366

Mailing address

64 Beacon Street
Apt C-109
Worcester, MA 01608

Phone 508-431-8366

Authorized official

Amber Stickles
Owner
5084318366

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