Active NPIOrganization

Behavioral Nutrition, INC.

Dietitian, Registered in Quincy, Massachusetts

NPI Number1518387950
Practice location
1266 Furnace Brook Pkwy, Suite #404, Quincy, MA 02169-4758
Fax
—
Last updated
April 24, 2014

Behavioral Nutrition, INC. is a healthcare organization based in Quincy, MA. Behavioral Nutrition, INC. practices in Quincy, MA. The NPI Number for Behavioral Nutrition, INC. is 1518387950 and holds a License No. 3632 (MA). The current practice location address for Behavioral Nutrition, INC. is 1266 Furnace Brook Pkwy, Suite #404, Quincy, MA 02169-4758 and can be reached out via phone at 617-595-7044.

Provider Profile Details

NPI Number
1518387950
Provider Name
Behavioral Nutrition, INC.
Provider Entity Type
Organization
Address
1266 Furnace Brook Pkwy, Suite #404, Quincy, MA 02169-4758
Phone Number
617-595-7044
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Nicole Taveras, MA, LMHC · Ceo, Behavioral Therapist · 617-595-7044
Provider Enumeration Date
April 24, 2014
Last Update Date
April 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1266 Furnace Brook Pkwy
Suite #404
Quincy, MA 02169-4758
City
Quincy
Zip
02169-4758
Phone Number
617-595-7044
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
1266 Furnace Brook Pkwy
Suite #404
Quincy, MA 02169-4758
City
Quincy
State
MA
Zip
02169-4758
Phone Number
617-595-7044

License Information

License Number (1)
3632
License State (1)
MA
Taxonomy (1)
Nutritionist · 133N00000X
License Number (2)
86013220
License State (2)
MA
Taxonomy (2)
Dietitian, Registered · 133V00000X · 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 Behavioral Nutrition, INC.?

The NPI number of Behavioral Nutrition, INC. is 1518387950. It was assigned on April 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Behavioral Nutrition, INC.?

Behavioral Nutrition, INC. is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3632.

Where does Behavioral Nutrition, INC. practice?

The practice location is 1266 Furnace Brook Pkwy, Suite #404, Quincy, MA 02169-4758. The office can be reached at 617-595-7044 (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 1518387950 directly on the NPPES registry website.

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