OrganizationMarlborough Community Development Corporation(<Unavail>)Behavior TechnicianBehavioral Health & Social Service ProvidersPractice Address40 Mechanic St Ste 300, Marlborough, MA 01752-4425(508) 658-0880PECOS EnrollmentBased on the most recent information from CMS, provider Marlborough Community Development Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1205365509Provider TypeOrganizationFull NameMarlborough Community Development CorporationOther Name<Unavail>SubpartNoEnumeration Date6/8/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address40 Mechanic St Ste 300, Marlborough, MA 01752-4425Phone(508) 658-0880Fax(508) 597-7772Mailing LocationMailing Address40 Mechanic St Ste 300, Marlborough, MA 01752-4425Phone(508) 658-0880Fax(508) 597-7772Authorized OfficialNameFaust, Lynn K. (Executive Director)Phone(508) 658-0880Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted IssuerCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicenseUnlisted Issuer