Provider Demographics
NPI:1679114474
Name:APPLIED BEHAVIOR INSTITUTE LLC
Entity type:Organization
Organization Name:APPLIED BEHAVIOR INSTITUTE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-767-5254
Mailing Address - Street 1:65 BOSTON POST RD W STE 135
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1898
Mailing Address - Country:US
Mailing Address - Phone:617-402-5444
Mailing Address - Fax:508-519-9188
Practice Address - Street 1:65 BOSTON POST RD W STE 135
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1898
Practice Address - Country:US
Practice Address - Phone:617-402-5444
Practice Address - Fax:508-519-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty