Active NPIIndividual provider

Bethany M Delact

Behavior Analyst in Roxbury, Massachusetts

NPI Number1073077921
Practice location
25 Moreland St, Roxbury, MA 02119-2382
Fax
—
Last updated
January 24, 2019

Bethany Marie Delact is a Behavior Analyst based in Roxbury, MA. Bethany Marie Delact practices in Roxbury, MA. The NPI Number for Bethany Marie Delact is 1073077921 and holds a License No. 3615455 (RI). The current practice location address for Bethany Marie Delact is 25 Moreland St, Roxbury, MA 02119-2382 and can be reached out via phone at 857-930-9457.

Provider Profile Details

NPI Number
1073077921
Provider Name
Bethany Marie Delact
Provider Entity Type
Individual
Gender
Female
Address
25 Moreland St, Roxbury, MA 02119-2382
Phone Number
857-930-9457
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2019
Last Update Date
January 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Moreland St
Roxbury, MA 02119-2382
Zip
02119-2382
Phone Number
857-930-9457
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
25 Moreland St
Roxbury, MA 02119-2382
City
Roxbury
State
MA
Zip
02119-2382
Phone Number
857-930-9457

License Information

License Number
3615455
License State
RI
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 Bethany M Delact?

The NPI number of Bethany M Delact is 1073077921. It was assigned on January 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Bethany M Delact?

Bethany M Delact is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in RI under license number 3615455.

Where does Bethany M Delact practice?

The practice location is 25 Moreland St, Roxbury, MA 02119-2382. The office can be reached at 857-930-9457 (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 1073077921 directly on the NPPES registry website.

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