Active NPIIndividual provider

Takiera Pettus

Behavior Technician in Allston, Massachusetts

NPI Number1407695091
Practice location
226 Harvard Ave, Allston, MA 02134-4605
Fax
—
Last updated
May 22, 2024

Takiera Pettus is a Behavior Technician based in Allston, MA. Takiera Pettus practices in Allston, MA. The NPI Number for Takiera Pettus is 1407695091. The current practice location address for Takiera Pettus is 226 Harvard Ave, Allston, MA 02134-4605 and can be reached out via phone at 617-942-6720.

Provider Profile Details

NPI Number
1407695091
Provider Name
Takiera Pettus
Provider Entity Type
Individual
Gender
Female
Address
226 Harvard Ave, Allston, MA 02134-4605
Phone Number
617-942-6720
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2024
Last Update Date
May 22, 2024
Certification Date
May 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
226 Harvard Ave
Allston, MA 02134-4605
Zip
02134-4605
Phone Number
617-942-6720
Allston, MA 02134Get directions →

Provider Business Mailing Address Details

Address
117 Wheatland Ave
Boston, MA 02124-1831
City
Boston
State
MA
Zip
02124-1831

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 Takiera Pettus?

The NPI number of Takiera Pettus is 1407695091. It was assigned on May 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Takiera Pettus?

Takiera Pettus is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Takiera Pettus practice?

The practice location is 226 Harvard Ave, Allston, MA 02134-4605. The office can be reached at 617-942-6720 (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 1407695091 directly on the NPPES registry website.

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