Provider Demographics
NPI:1861103905
Name:DANVERS AUTISM AND BEHAVIOR CONSULTANTS
Entity type:Organization
Organization Name:DANVERS AUTISM AND BEHAVIOR CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DRISCOLL
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LABA
Authorized Official - Phone:978-766-4019
Mailing Address - Street 1:14 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2613
Mailing Address - Country:US
Mailing Address - Phone:978-766-4019
Mailing Address - Fax:
Practice Address - Street 1:14 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2613
Practice Address - Country:US
Practice Address - Phone:978-766-4019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty