Active NPIIndividual provider

Desdalin C Black, MSED, BCBA

Behavior Analyst in Ayer, Massachusetts

NPI Number1124368899
Practice location
3 E Main St, Apt 2, Ayer, MA 01432-1605
Fax
—
Last updated
February 18, 2013

Desdalin Cornelia Black is a Behavior Analyst based in Ayer, MA. Desdalin Cornelia Black practices in Ayer, MA and has the professional credentials of MSED, BCBA. The NPI Number for Desdalin Cornelia Black is 1124368899. The current practice location address for Desdalin Cornelia Black is 3 E Main St, Apt 2, Ayer, MA 01432-1605 and can be reached out via phone at 508-717-1983.

Provider Profile Details

NPI Number
1124368899
Provider Name
Desdalin Cornelia Black
Credential
MSED, BCBA
Provider Entity Type
Individual
Gender
Female
Address
3 E Main St, Apt 2, Ayer, MA 01432-1605
Phone Number
508-717-1983
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
February 18, 2013
Last Update Date
February 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 E Main St
Apt 2
Ayer, MA 01432-1605
City
Ayer
Zip
01432-1605
Phone Number
508-717-1983
Ayer, MA 01432Get directions →

Provider Business Mailing Address Details

Address
3 E Main St
Apt 2
Ayer, MA 01432-1605
City
Ayer
State
MA
Zip
01432-1605
Phone Number
508-717-1983

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 Desdalin C Black, MSED, BCBA?

The NPI number of Desdalin C Black, MSED, BCBA is 1124368899. It was assigned on February 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Desdalin C Black, MSED, BCBA?

Desdalin C Black, MSED, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Desdalin C Black, MSED, BCBA practice?

The practice location is 3 E Main St, Apt 2, Ayer, MA 01432-1605. The office can be reached at 508-717-1983 (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 1124368899 directly on the NPPES registry website.

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