Active NPIIndividual providerSole proprietor

Susan J Desmond, MED

Behavior Technician in Woburn, Massachusetts

NPI Number1366075301
Practice location
10 Gill St # J, Woburn, MA 01801-1721
Fax
—
Last updated
February 18, 2020

Susan J Desmond is a Behavior Technician based in Woburn, MA. Susan J Desmond practices in Woburn, MA and has the professional credentials of MED. The NPI Number for Susan J Desmond is 1366075301. The current practice location address for Susan J Desmond is 10 Gill St # J, Woburn, MA 01801-1721 and can be reached out via phone at 617-505-6183.

Provider Profile Details

NPI Number
1366075301
Provider Name
Susan J Desmond
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
10 Gill St # J, Woburn, MA 01801-1721
Phone Number
617-505-6183
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 18, 2020
Last Update Date
February 18, 2020
Certification Date
February 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gill St # J
Woburn, MA 01801-1721
City
Woburn
Zip
01801-1721
Phone Number
617-505-6183
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
10 Gill St # J
Woburn, MA 01801-1721
City
Woburn
State
MA
Zip
01801-1721
Phone Number
617-505-6183

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 Susan J Desmond, MED?

The NPI number of Susan J Desmond, MED is 1366075301. It was assigned on February 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Susan J Desmond, MED?

Susan J Desmond, MED is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Susan J Desmond, MED practice?

The practice location is 10 Gill St # J, Woburn, MA 01801-1721. The office can be reached at 617-505-6183 (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 1366075301 directly on the NPPES registry website.

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