Active NPIIndividual provider

Blaise D Innocent

Behavior Technician in Everett, Massachusetts

NPI Number1982499000
Practice location
24 Porter St, Everett, MA 02149-3112
Fax
—
Last updated
April 10, 2025

Blaise D Innocent is a Behavior Technician based in Everett, MA. Blaise D Innocent practices in Everett, MA. The NPI Number for Blaise D Innocent is 1982499000 and holds a License No. S25579754 (MA). The current practice location address for Blaise D Innocent is 24 Porter St, Everett, MA 02149-3112 and can be reached out via phone at 781-921-9360.

Provider Profile Details

NPI Number
1982499000
Provider Name
Blaise D Innocent
Provider Entity Type
Individual
Address
24 Porter St, Everett, MA 02149-3112
Phone Number
781-921-9360
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2025
Last Update Date
April 10, 2025
Certification Date
April 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Porter St
Everett, MA 02149-3112
Zip
02149-3112
Phone Number
781-921-9360
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
24 Porter St
Everett, MA 02149-3112
City
Everett
State
MA
Zip
02149-3112
Phone Number
781-921-9360

License Information

Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
S25579754
License State (2)
MA
Taxonomy (2)
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 Blaise D Innocent?

The NPI number of Blaise D Innocent is 1982499000. It was assigned on April 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Blaise D Innocent?

Blaise D Innocent is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number S25579754.

Where does Blaise D Innocent practice?

The practice location is 24 Porter St, Everett, MA 02149-3112. The office can be reached at 781-921-9360 (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 1982499000 directly on the NPPES registry website.

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