Individual provider · Type 1 NPI

Andrew Knight Ballou Iv

Developmental Therapist · Milford, MA

NPI number 1659251072 Active

Practice location

300 E Main St
Milford, MA 01757-2806

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1659251072

Andrew Knight Ballou Iv's National Provider Identifier is 1659251072, issued on Sep 5, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Milford, MA. The record was last updated on Sep 5, 2025.