Active NPIOrganization

Sport Station Adapted Exercises Corp

Behavior Analyst in Holliston, Massachusetts

NPI Number1568275907
Practice location
696 Washington St Apt 1, Holliston, MA 01746-2186
Fax
—
Last updated
September 11, 2025

Sport Station Adapted Exercises Corp is a healthcare organization based in Holliston, MA. Sport Station Adapted Exercises Corp practices in Holliston, MA. The NPI Number for Sport Station Adapted Exercises Corp is 1568275907. The current practice location address for Sport Station Adapted Exercises Corp is 696 Washington St Apt 1, Holliston, MA 01746-2186 and can be reached out via phone at 508-663-6580.

Provider Profile Details

NPI Number
1568275907
Provider Name
Sport Station Adapted Exercises Corp
Provider Entity Type
Organization
Address
696 Washington St Apt 1, Holliston, MA 01746-2186
Phone Number
508-663-6580
Primary Taxonomy
Behavior Analyst · 103K00000X
Organization Subpart
No
Authorized Official
Camila Goncalves De Assis · Owner · 508-663-6580
Provider Enumeration Date
January 29, 2025
Last Update Date
September 11, 2025
Certification Date
January 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
696 Washington St Apt 1
Holliston, MA 01746-2186
Zip
01746-2186
Phone Number
508-663-6580
Holliston, MA 01746Get directions →

Provider Business Mailing Address Details

Address
696 Washington St Apt 1
Holliston, MA 01746-2186
City
Holliston
State
MA
Zip
01746-2186
Phone Number
508-663-6580

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Sport Station Adapted Exercises Corp?

The NPI number of Sport Station Adapted Exercises Corp is 1568275907. It was assigned on January 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Sport Station Adapted Exercises Corp?

Sport Station Adapted Exercises Corp is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Sport Station Adapted Exercises Corp practice?

The practice location is 696 Washington St Apt 1, Holliston, MA 01746-2186. The office can be reached at 508-663-6580 (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 1568275907 directly on the NPPES registry website.

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