Active NPIIndividual providerSole proprietor

Shannon Broderick

Behavior Technician in Abington, Massachusetts

NPI Number1972016855
Practice location
64 Bradford St, Abington, MA 02351
Fax
—
Last updated
November 14, 2017

Shannon Broderick is a Behavior Technician based in Abington, MA. Shannon Broderick practices in Abington, MA. The NPI Number for Shannon Broderick is 1972016855. The current practice location address for Shannon Broderick is 64 Bradford St, Abington, MA 02351 and can be reached out via phone at 781-413-4822.

Provider Profile Details

NPI Number
1972016855
Provider Name
Shannon Broderick
Provider Entity Type
Individual
Gender
Female
Address
64 Bradford St, Abington, MA 02351
Phone Number
781-413-4822
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2017
Last Update Date
November 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Bradford St
Abington, MA 02351
Zip
02351
Phone Number
781-413-4822
Abington, MA 02351Get directions →

Provider Business Mailing Address Details

Address
64 Bradford St
Abington, MA 02351-2203
City
Abington
State
MA
Zip
02351-2203
Phone Number
781-413-4822

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 Shannon Broderick?

The NPI number of Shannon Broderick is 1972016855. It was assigned on November 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Shannon Broderick?

Shannon Broderick is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Shannon Broderick practice?

The practice location is 64 Bradford St, Abington, MA 02351. The office can be reached at 781-413-4822 (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 1972016855 directly on the NPPES registry website.

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