Active NPIIndividual providerSole proprietor

Stephanie L Fagan

Behavior Technician in Norwell, Massachusetts

NPI Number1336700152
Practice location
80 Washington St Ste P55, Norwell, MA 02061-1742
Fax
—
Last updated
June 24, 2019

Stephanie Lynn Fagan is a Behavior Technician based in Norwell, MA. Stephanie Lynn Fagan practices in Norwell, MA. The NPI Number for Stephanie Lynn Fagan is 1336700152. The current practice location address for Stephanie Lynn Fagan is 80 Washington St Ste P55, Norwell, MA 02061-1742 and can be reached out via phone at 781-290-3886.

Provider Profile Details

NPI Number
1336700152
Provider Name
Stephanie Lynn Fagan
Provider Entity Type
Individual
Gender
Female
Address
80 Washington St Ste P55, Norwell, MA 02061-1742
Phone Number
781-290-3886
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 24, 2019
Last Update Date
June 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Washington St Ste P55
Norwell, MA 02061-1742
Zip
02061-1742
Phone Number
781-290-3886
Norwell, MA 02061Get directions →

Provider Business Mailing Address Details

Address
80 Washington St Ste P55
Norwell, MA 02061-1742
City
Norwell
State
MA
Zip
02061-1742
Phone Number
781-290-3886

License Information

Taxonomy
Behavior Technician · 106S00000X · 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 Stephanie L Fagan?

The NPI number of Stephanie L Fagan is 1336700152. It was assigned on June 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Stephanie L Fagan?

Stephanie L Fagan is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Stephanie L Fagan practice?

The practice location is 80 Washington St Ste P55, Norwell, MA 02061-1742. The office can be reached at 781-290-3886 (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 1336700152 directly on the NPPES registry website.

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