Ethan Dejesus
Behavior Technician in Cambridge, Massachusetts
1952169039- Practice location
- 113 Richdale Ave Unit 15, Cambridge, MA 02140-3333
- Phone
- 413-275-9373
- Fax
- —
- Last updated
- March 12, 2024
Ethan Dejesus is a Behavior Technician based in Cambridge, MA. Ethan Dejesus practices in Cambridge, MA. The NPI Number for Ethan Dejesus is 1952169039. The current practice location address for Ethan Dejesus is 113 Richdale Ave Unit 15, Cambridge, MA 02140-3333 and can be reached out via phone at 413-275-9373.
Provider Profile Details
- NPI Number
- 1952169039
- Provider Name
- Ethan Dejesus
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 113 Richdale Ave Unit 15, Cambridge, MA 02140-3333
- Phone Number
- 413-275-9373
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 12, 2024
- Last Update Date
- March 12, 2024
- Certification Date
- March 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Richdale Ave Unit 15
Cambridge, MA 02140-3333 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02140-3333
- Phone Number
- 413-275-9373
Provider Business Mailing Address Details
- Address
- 38 N Summer St Apt 1B
Holyoke, MA 01040-6266 - City
- Holyoke
- State
- MA
- Zip
- 01040-6266
- Phone Number
- 413-275-9373
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. | |||
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Frequently Asked Questions
What is the NPI number of Ethan Dejesus?
The NPI number of Ethan Dejesus is 1952169039. It was assigned on March 12, 2024 and is currently active in the NPPES registry.
What is the specialty of Ethan Dejesus?
Ethan Dejesus is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Ethan Dejesus practice?
The practice location is 113 Richdale Ave Unit 15, Cambridge, MA 02140-3333. The office can be reached at 413-275-9373 (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 1952169039 directly on the NPPES registry website.