Active NPIIndividual provider

Brianna Micciche

Developmental Therapist in East Boston, Massachusetts

NPI Number1124431135
Practice location
130 Condor St, East Boston, MA 02128-1305
Fax
—
Last updated
June 6, 2014

Brianna Micciche is a Developmental Therapist based in East Boston, MA. Brianna Micciche practices in East Boston, MA. The NPI Number for Brianna Micciche is 1124431135. The current practice location address for Brianna Micciche is 130 Condor St, East Boston, MA 02128-1305 and can be reached out via phone at 617-569-6560.

Provider Profile Details

NPI Number
1124431135
Provider Name
Brianna Micciche
Provider Entity Type
Individual
Gender
Female
Address
130 Condor St, East Boston, MA 02128-1305
Phone Number
617-569-6560
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2014
Last Update Date
June 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Condor St
East Boston, MA 02128-1305
Zip
02128-1305
Phone Number
617-569-6560
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
130 Condor St
East Boston, MA 02128-1305
City
East Boston
State
MA
Zip
02128-1305
Phone Number
617-569-6560

License Information

License State
MA
Taxonomy
Developmental Therapist · 222Q00000X · 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 Brianna Micciche?

The NPI number of Brianna Micciche is 1124431135. It was assigned on June 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Brianna Micciche?

Brianna Micciche is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Brianna Micciche practice?

The practice location is 130 Condor St, East Boston, MA 02128-1305. The office can be reached at 617-569-6560 (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 1124431135 directly on the NPPES registry website.

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