Active NPIIndividual providerSole proprietor

Mrs. Lisa M Davide, BEHAVIOR THERAPIST

Behavior Technician in Malden, Massachusetts

NPI Number1912426800
Practice location
564 Pleasant St, Malden, MA 02148-3550
Fax
617-791-4137
Last updated
June 16, 2018

Lisa Marie Davide is a Behavior Technician based in Malden, MA. Lisa Marie Davide practices in Malden, MA and has the professional credentials of BEHAVIOR THERAPIST. The NPI Number for Lisa Marie Davide is 1912426800. The current practice location address for Lisa Marie Davide is 564 Pleasant St, Malden, MA 02148-3550 and can be reached out via phone at 617-791-4137 and via fax at 617-791-4137.

Provider Profile Details

NPI Number
1912426800
Provider Name
Lisa Marie Davide
Credential
BEHAVIOR THERAPIST
Provider Entity Type
Individual
Gender
Female
Address
564 Pleasant St, Malden, MA 02148-3550
Phone Number
617-791-4137
Fax Number
617-791-4137
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2017
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
564 Pleasant St
Malden, MA 02148-3550
City
Malden
Zip
02148-3550
Phone Number
617-791-4137
Fax Number
617-791-4137
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
564 Pleasant St
Malden, MA 02148-3550
City
Malden
State
MA
Zip
02148-3550
Phone Number
617-429-3481

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Behavior Technicians near Malden, MA

View all Behavior Technicians in Malden →

Frequently Asked Questions

What is the NPI number of Mrs. Lisa M Davide, BEHAVIOR THERAPIST?

The NPI number of Mrs. Lisa M Davide, BEHAVIOR THERAPIST is 1912426800. It was assigned on September 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa M Davide, BEHAVIOR THERAPIST?

Mrs. Lisa M Davide, BEHAVIOR THERAPIST is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Mrs. Lisa M Davide, BEHAVIOR THERAPIST practice?

The practice location is 564 Pleasant St, Malden, MA 02148-3550. The office can be reached at 617-791-4137 (phone) or 617-791-4137 (fax).

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 1912426800 directly on the NPPES registry website.

Browse related providers