Active NPIIndividual provider

Keith M Pavon, BA, MA

Behavior Technician in Newton, Massachusetts

NPI Number1700363090
Practice location
109 Oak St Ste 103, Newton, MA 02464-1493
Fax
—
Last updated
July 19, 2018

Keith Manuel Pavon is a Behavior Technician based in Newton, MA. Keith Manuel Pavon practices in Newton, MA and has the professional credentials of BA, MA. The NPI Number for Keith Manuel Pavon is 1700363090. The current practice location address for Keith Manuel Pavon is 109 Oak St Ste 103, Newton, MA 02464-1493 and can be reached out via phone at 617-658-5611.

Provider Profile Details

NPI Number
1700363090
Provider Name
Keith Manuel Pavon
Credential
BA, MA
Provider Entity Type
Individual
Gender
Male
Address
109 Oak St Ste 103, Newton, MA 02464-1493
Phone Number
617-658-5611
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2018
Last Update Date
July 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 Oak St Ste 103
Newton, MA 02464-1493
City
Newton
Zip
02464-1493
Phone Number
617-658-5611
Newton, MA 02464Get directions →

Provider Business Mailing Address Details

Address
2 Haviland St Apt 2
Worcester, MA 01602-2109
City
Worcester
State
MA
Zip
01602-2109
Phone Number
787-639-9662

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 Keith M Pavon, BA, MA?

The NPI number of Keith M Pavon, BA, MA is 1700363090. It was assigned on July 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Keith M Pavon, BA, MA?

Keith M Pavon, BA, MA is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Keith M Pavon, BA, MA practice?

The practice location is 109 Oak St Ste 103, Newton, MA 02464-1493. The office can be reached at 617-658-5611 (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 1700363090 directly on the NPPES registry website.

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