Phoenix Developmental Services, LLC
Behavior Analyst in Randolph, Massachusetts
1528911773- Practice location
- 79 Bridle Path Cir, Randolph, MA 02368-4453
- Phone
- 617-407-3666
- Fax
- —
- Last updated
- February 17, 2026
Phoenix Developmental Services, LLC is a healthcare organization based in Randolph, MA. Phoenix Developmental Services, LLC practices in Randolph, MA. The NPI Number for Phoenix Developmental Services, LLC is 1528911773. The current practice location address for Phoenix Developmental Services, LLC is 79 Bridle Path Cir, Randolph, MA 02368-4453 and can be reached out via phone at 617-407-3666.
Provider Profile Details
- NPI Number
- 1528911773
- Provider Name
- Phoenix Developmental Services, LLC
- Provider Entity Type
- Organization
- Address
- 79 Bridle Path Cir, Randolph, MA 02368-4453
- Phone Number
- 617-407-3666
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Robert A Grigore, BCBA · Owner/Ceo · 617-407-3666
- Provider Enumeration Date
- February 17, 2026
- Last Update Date
- February 17, 2026
- Certification Date
- February 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 79 Bridle Path Cir
Randolph, MA 02368-4453 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4453
- Phone Number
- 617-407-3666
Provider Business Mailing Address Details
- Address
- 79 Bridle Path Cir
Randolph, MA 02368-4453 - City
- Randolph
- State
- MA
- Zip
- 02368-4453
- Phone Number
- 617-407-3666
License Information
- Taxonomy (1)
- Occupational Therapist, Pediatrics · 225XP0200X
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Phoenix Developmental Services, LLC?
The NPI number of Phoenix Developmental Services, LLC is 1528911773. It was assigned on February 17, 2026 and is currently active in the NPPES registry.
What is the specialty of Phoenix Developmental Services, LLC?
Phoenix Developmental Services, LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Phoenix Developmental Services, LLC practice?
The practice location is 79 Bridle Path Cir, Randolph, MA 02368-4453. The office can be reached at 617-407-3666 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528911773 directly on the NPPES registry website.