Active NPIIndividual provider

Detricka Ballard

Behavior Technician in Worcester, Massachusetts

NPI Number1871263582
Practice location
345A Greenwood St, Worcester, MA 01607-1753
Fax
—
Last updated
September 14, 2021

Detricka Ballard is a Behavior Technician based in Worcester, MA. Detricka Ballard practices in Worcester, MA. The NPI Number for Detricka Ballard is 1871263582. The current practice location address for Detricka Ballard is 345A Greenwood St, Worcester, MA 01607-1753 and can be reached out via phone at 508-363-0200.

Provider Profile Details

NPI Number
1871263582
Provider Name
Detricka Ballard
Provider Entity Type
Individual
Gender
Female
Address
345A Greenwood St, Worcester, MA 01607-1753
Phone Number
508-363-0200
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2021
Last Update Date
September 14, 2021
Certification Date
September 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
345A Greenwood St
Worcester, MA 01607-1753
Zip
01607-1753
Phone Number
508-363-0200
Worcester, MA 01607Get directions →

Provider Business Mailing Address Details

Address
345A Greenwood St
Worcester, MA 01607-1753
City
Worcester
State
MA
Zip
01607-1753
Phone Number
508-363-0200

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 Detricka Ballard?

The NPI number of Detricka Ballard is 1871263582. It was assigned on September 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Detricka Ballard?

Detricka Ballard is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Detricka Ballard practice?

The practice location is 345A Greenwood St, Worcester, MA 01607-1753. The office can be reached at 508-363-0200 (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 1871263582 directly on the NPPES registry website.

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