David Pulsifer, BCBA
Individual provider Active NPI Behavior Analyst · Westbrook, ME
NPI 1003274259 · NPPES record last updated Feb 3, 2016
Key facts
- NPI
- 1003274259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-14-15901 (ME)
- Practice address
- 646 Main Street
Apartment 1
Westbrook, ME 04092 - Phone
- (207) 766-1880
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-15901 | ME | Yes |
Addresses
Primary practice location
646 Main Street
Apartment 1
Westbrook, ME 04092
Mailing address
646 Main St
Apartment 1
Westbrook, ME 04092-4106
Phone (207) 766-1880
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.