NPI 1639564214
Northeast Behavioral Associates
Practice location
- Address
- 23 Dailey Rd, Brockton, MA 02302-2250
- Phone
- (774) 240-1504
Authorised official
- Name
- Jayla C Hampton
- Title
- Behavioral Management Therapist
- Phone
- (774) 240-1504
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1639564214
- Entity type
- Organization
- NPI issued
- 1 Apr 2015
- Record last updated
- 1 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.