Active NPIIndividual provider

Derek A Andrade, MED, BCBA, LABA

Behavior Analyst in Worcester, Massachusetts

NPI Number1164843520
Practice location
345 Greenwood St Ste A, Suite B, Worcester, MA 01607-1767
Fax
—
Last updated
December 14, 2015

Derek Allen Andrade is a Behavior Analyst based in Worcester, MA. Derek Allen Andrade practices in Worcester, MA and has the professional credentials of MED, BCBA, LABA. The NPI Number for Derek Allen Andrade is 1164843520 and holds a License No. 246 (MA). The current practice location address for Derek Allen Andrade is 345 Greenwood St Ste A, Suite B, Worcester, MA 01607-1767 and can be reached out via phone at 508-363-0200.

Provider Profile Details

NPI Number
1164843520
Provider Name
Derek Allen Andrade
Credential
MED, BCBA, LABA
Provider Entity Type
Individual
Gender
Male
Address
345 Greenwood St Ste A, Suite B, Worcester, MA 01607-1767
Phone Number
508-363-0200
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
January 2, 2014
Last Update Date
December 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 Greenwood St Ste A
Suite B
Worcester, MA 01607-1767
Zip
01607-1767
Phone Number
508-363-0200
Worcester, MA 01607Get directions →

Provider Business Mailing Address Details

Address
345 Greenwood St Ste A
Suite B
Worcester, MA 01607-1767
City
Worcester
State
MA
Zip
01607-1767
Phone Number
508-363-0200

License Information

License Number
246
License State
MA
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 Derek A Andrade, MED, BCBA, LABA?

The NPI number of Derek A Andrade, MED, BCBA, LABA is 1164843520. It was assigned on January 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Derek A Andrade, MED, BCBA, LABA?

Derek A Andrade, MED, BCBA, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 246.

Where does Derek A Andrade, MED, BCBA, LABA practice?

The practice location is 345 Greenwood St Ste A, Suite B, Worcester, MA 01607-1767. The office can be reached at 508-363-0200 (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 1164843520 directly on the NPPES registry website.

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