Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 101-0626 | MA |
N | 103TM1800X | Intellectual & Developmental Disabilities | 6749 | MA |
NPI | 1003131178 |
---|---|
Provider Name | Dr. Alan Harchik |
First Address | Amherst, MA 01002-1627 |
Second Address | Amherst, MA 01002-1627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2010 |
Last Update Date | 01/04/2010 |