Provider Demographics
NPI:1043038201
Name:INCLUSIVE BEHAVIOR SOLUTIONS LLC
Entity type:Organization
Organization Name:INCLUSIVE BEHAVIOR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:PENDER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA LABA
Authorized Official - Phone:781-775-5344
Mailing Address - Street 1:49 APPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2408
Mailing Address - Country:US
Mailing Address - Phone:781-775-5344
Mailing Address - Fax:
Practice Address - Street 1:49 APPLETON AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2408
Practice Address - Country:US
Practice Address - Phone:781-775-5344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty