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Contact Information

BRAIN ANALYSIS & NEURODEVELOPMENT CENTER, LLC
195 RUSSELL ST
SUITE B-13
HADLEY, MA01035-9515
 Phone: 413-203-6600
 Fax: 866-651-1899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BRAIN ANALYSIS & NEURODEVELOPMENT CENTER, LLC

NPI Number 1386008985
LBN Legal business name BRAIN ANALYSIS & NEURODEVELOPMENT CENTER, LLC
Authorized official ROBERT DAVIS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2016
Last updated 01/10/2017 - About 9 years ago
Identifiers
MA License # 7324
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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