Mrs. Blue W Favreau, BCBA
Behavior Analyst in Sterling, Massachusetts
1568735843- Practice location
- 109 Chace Hill RD, Sterling, MA 01564-1519
- Phone
- 978-365-3891
- Fax
- —
- Last updated
- February 16, 2012
Blue Willow Favreau is a Behavior Analyst based in Sterling, MA. Blue Willow Favreau practices in Sterling, MA and has the professional credentials of BCBA. The NPI Number for Blue Willow Favreau is 1568735843 and holds a License No. 1-04-1792 (MA). The current practice location address for Blue Willow Favreau is 109 Chace Hill RD, Sterling, MA 01564-1519 and can be reached out via phone at 978-365-3891.
Provider Profile Details
- NPI Number
- 1568735843
- Provider Name
- Blue Willow Favreau
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 109 Chace Hill RD, Sterling, MA 01564-1519
- Phone Number
- 978-365-3891
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 16, 2012
- Last Update Date
- February 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 Chace Hill RD
Sterling, MA 01564-1519 - City
- Sterling
- State
- Massachusetts
- Zip
- 01564-1519
- Phone Number
- 978-365-3891
Provider Business Mailing Address Details
- Address
- 109 Chace Hill RD
Sterling, MA 01564-1519 - City
- Sterling
- State
- MA
- Zip
- 01564-1519
- Phone Number
- 978-365-3891
License Information
- License Number
- 1-04-1792
- License State
- MA
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Blue W Favreau, BCBA?
The NPI number of Mrs. Blue W Favreau, BCBA is 1568735843. It was assigned on February 16, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Blue W Favreau, BCBA?
Mrs. Blue W Favreau, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-04-1792.
Where does Mrs. Blue W Favreau, BCBA practice?
The practice location is 109 Chace Hill RD, Sterling, MA 01564-1519. The office can be reached at 978-365-3891 (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 1568735843 directly on the NPPES registry website.