Provider Demographics
NPI:1730687799
Name:HOMEBASE BEHAVIOR CONSULTING INC
Entity type:Organization
Organization Name:HOMEBASE BEHAVIOR CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:III
Authorized Official - Credentials:LABA, BCBA
Authorized Official - Phone:774-232-4686
Mailing Address - Street 1:210 PARK AVE STE 269
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2246
Mailing Address - Country:US
Mailing Address - Phone:774-232-4686
Mailing Address - Fax:
Practice Address - Street 1:25 MONROE AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-2640
Practice Address - Country:US
Practice Address - Phone:774-232-4686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1022-MH-B1103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty