Mr. Samuel G Diedrich
Behavior Technician in Woburn, Massachusetts
1831701614- Practice location
- 10 Gill St Ste J, Woburn, MA 01801-1721
- Phone
- 617-505-6183
- Fax
- —
- Last updated
- August 21, 2020
Samuel G Diedrich is a Behavior Technician based in Woburn, MA. Samuel G Diedrich practices in Woburn, MA. The NPI Number for Samuel G Diedrich is 1831701614. The current practice location address for Samuel G Diedrich is 10 Gill St Ste J, Woburn, MA 01801-1721 and can be reached out via phone at 617-505-6183.
Provider Profile Details
- NPI Number
- 1831701614
- Provider Name
- Samuel G Diedrich
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Gill St Ste J, Woburn, MA 01801-1721
- Phone Number
- 617-505-6183
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 21, 2020
- Last Update Date
- August 21, 2020
- Certification Date
- August 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Gill St Ste J
Woburn, MA 01801-1721 - City
- Woburn
- State
- Massachusetts
- Zip
- 01801-1721
- Phone Number
- 617-505-6183
Provider Business Mailing Address Details
- Address
- 89 Champney St
Groton, MA 01450-1358 - City
- Groton
- State
- MA
- Zip
- 01450-1358
- Phone Number
- 978-877-9789
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Woburn, MA
View all Behavior Technicians in Woburn →Frequently Asked Questions
What is the NPI number of Mr. Samuel G Diedrich?
The NPI number of Mr. Samuel G Diedrich is 1831701614. It was assigned on August 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Samuel G Diedrich?
Mr. Samuel G Diedrich is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Mr. Samuel G Diedrich practice?
The practice location is 10 Gill St Ste J, Woburn, MA 01801-1721. The office can be reached at 617-505-6183 (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 1831701614 directly on the NPPES registry website.