Provider Demographics
NPI:1851260202
Name:ISABELLA INK LLC
Entity type:Organization
Organization Name:ISABELLA INK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JEWETT
Authorized Official - Suffix:
Authorized Official - Credentials:LABA, BCBA
Authorized Official - Phone:774-253-0694
Mailing Address - Street 1:132 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1607
Mailing Address - Country:US
Mailing Address - Phone:774-253-0694
Mailing Address - Fax:
Practice Address - Street 1:213 CANTON ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2203
Practice Address - Country:US
Practice Address - Phone:774-253-0694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty