Active NPIIndividual provider

Samantha De Vasconcelos

Behavior Analyst in Methuen, Massachusetts

NPI Number1124627211
Practice location
147 Pelham St Ste 201, Methuen, MA 01844-2060
Fax
—
Last updated
November 10, 2024

Samantha De Vasconcelos is a Behavior Analyst based in Methuen, MA. Samantha De Vasconcelos practices in Methuen, MA. The NPI Number for Samantha De Vasconcelos is 1124627211 and holds a License No. 1-24-76279 (MA). The current practice location address for Samantha De Vasconcelos is 147 Pelham St Ste 201, Methuen, MA 01844-2060 and can be reached out via phone at 617-402-5444.

Provider Profile Details

NPI Number
1124627211
Provider Name
Samantha De Vasconcelos
Provider Entity Type
Individual
Gender
Female
Address
147 Pelham St Ste 201, Methuen, MA 01844-2060
Phone Number
617-402-5444
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Samantha Fernandez (Former Name)
Provider Enumeration Date
October 20, 2020
Last Update Date
November 10, 2024
Certification Date
November 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 Pelham St Ste 201
Methuen, MA 01844-2060
Zip
01844-2060
Phone Number
617-402-5444
Methuen, MA 01844Get directions →

Provider Business Mailing Address Details

Address
225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
City
Marlborough
State
MA
Zip
01752-5900
Phone Number
857-829-4040

License Information

Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
1-24-76279
License State (2)
MA
Taxonomy (2)
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 Samantha De Vasconcelos?

The NPI number of Samantha De Vasconcelos is 1124627211. It was assigned on October 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Samantha De Vasconcelos?

Samantha De Vasconcelos is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-24-76279.

Where does Samantha De Vasconcelos practice?

The practice location is 147 Pelham St Ste 201, Methuen, MA 01844-2060. The office can be reached at 617-402-5444 (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 1124627211 directly on the NPPES registry website.

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