Active NPIIndividual provider

Mr. Vladimir J Genao, MS, BCBA, LABA

Behavior Analyst in Wakefield, Massachusetts

NPI Number1386106185
Practice location
607 North Ave, Door 11, Wakefield, MA 01880
Fax
—
Last updated
January 3, 2022

Vladimir Junior Genao is a Behavior Analyst based in Wakefield, MA. Vladimir Junior Genao practices in Wakefield, MA and has the professional credentials of MS, BCBA, LABA. The NPI Number for Vladimir Junior Genao is 1386106185 and holds a License No. 2629 (MA). The current practice location address for Vladimir Junior Genao is 607 North Ave, Door 11, Wakefield, MA 01880 and can be reached out via phone at 866-926-4345.

Provider Profile Details

NPI Number
1386106185
Provider Name
Vladimir Junior Genao
Credential
MS, BCBA, LABA
Provider Entity Type
Individual
Gender
Male
Address
607 North Ave, Door 11, Wakefield, MA 01880
Phone Number
866-926-4345
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2019
Last Update Date
January 3, 2022
Certification Date
November 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
607 North Ave
Door 11
Wakefield, MA 01880
Zip
01880
Phone Number
866-926-4345
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
15 Robinson St Fl 2
Lynn, MA 01905-1813
City
Lynn
State
MA
Zip
01905-1813
Phone Number
781-913-8512

License Information

License Number (1)
2629
License State (1)
MA
Taxonomy (1)
Assistant Behavior Analyst · 106E00000X
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 Mr. Vladimir J Genao, MS, BCBA, LABA?

The NPI number of Mr. Vladimir J Genao, MS, BCBA, LABA is 1386106185. It was assigned on April 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Vladimir J Genao, MS, BCBA, LABA?

Mr. Vladimir J Genao, MS, BCBA, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 2629.

Where does Mr. Vladimir J Genao, MS, BCBA, LABA practice?

The practice location is 607 North Ave, Door 11, Wakefield, MA 01880. The office can be reached at 866-926-4345 (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 1386106185 directly on the NPPES registry website.

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