Masonor Putu
Behavior Technician in Worcester, Massachusetts
1902409733- Practice location
- 9 Jefferson St Apt 2F, Worcester, MA 01604-4355
- Phone
- 413-378-5541
- Fax
- —
- Last updated
- November 16, 2020
Masonor Putu is a Behavior Technician based in Worcester, MA. Masonor Putu practices in Worcester, MA. The NPI Number for Masonor Putu is 1902409733 and holds a License No. S49616671 (MA). The current practice location address for Masonor Putu is 9 Jefferson St Apt 2F, Worcester, MA 01604-4355 and can be reached out via phone at 413-378-5541.
Provider Profile Details
- NPI Number
- 1902409733
- Provider Name
- Masonor Putu
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9 Jefferson St Apt 2F, Worcester, MA 01604-4355
- Phone Number
- 413-378-5541
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 16, 2020
- Last Update Date
- November 16, 2020
- Certification Date
- November 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Jefferson St Apt 2F
Worcester, MA 01604-4355 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-4355
- Phone Number
- 413-378-5541
Provider Business Mailing Address Details
- Address
- 9 Jefferson St Apt 2F
Worcester, MA 01604-4355 - City
- Worcester
- State
- MA
- Zip
- 01604-4355
- Phone Number
- 413-378-5541
License Information
- License Number (1)
- S49616671
- License State (1)
- MA
- Taxonomy (1)
- Behavior Technician · 106S00000X
- License State (2)
- MA
- Taxonomy (2)
- Behavior Technician · 106S00000X · 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 Masonor Putu?
The NPI number of Masonor Putu is 1902409733. It was assigned on November 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Masonor Putu?
Masonor Putu is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number S49616671.
Where does Masonor Putu practice?
The practice location is 9 Jefferson St Apt 2F, Worcester, MA 01604-4355. The office can be reached at 413-378-5541 (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 1902409733 directly on the NPPES registry website.