Active NPIIndividual providerSole proprietor

Eben Cottrelle

Behavior Technician in Malden, Massachusetts

NPI Number1407472673
Practice location
48 Boundary RD, Malden, MA 02148-8321
Fax
—
Last updated
June 23, 2020

Eben Cottrelle is a Behavior Technician based in Malden, MA. Eben Cottrelle practices in Malden, MA. The NPI Number for Eben Cottrelle is 1407472673. The current practice location address for Eben Cottrelle is 48 Boundary RD, Malden, MA 02148-8321 and can be reached out via phone at 857-265-1017.

Provider Profile Details

NPI Number
1407472673
Provider Name
Eben Cottrelle
Provider Entity Type
Individual
Gender
Male
Address
48 Boundary RD, Malden, MA 02148-8321
Phone Number
857-265-1017
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2020
Last Update Date
June 23, 2020
Certification Date
June 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Boundary RD
Malden, MA 02148-8321
City
Malden
Zip
02148-8321
Phone Number
857-265-1017
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
48 Boundary RD
Malden, MA 02148-8321
City
Malden
State
MA
Zip
02148-8321
Phone Number
857-265-1017

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 Eben Cottrelle?

The NPI number of Eben Cottrelle is 1407472673. It was assigned on June 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Eben Cottrelle?

Eben Cottrelle is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Eben Cottrelle practice?

The practice location is 48 Boundary RD, Malden, MA 02148-8321. The office can be reached at 857-265-1017 (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 1407472673 directly on the NPPES registry website.

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