Jordyn Maxim

Individual provider Active NPI Behavior Technician · Attleboro, MA

NPI 1013520196 · NPPES record last updated Aug 28, 2020

Key facts

NPI
1013520196
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
33 Perry Ave
Attleboro, MA 02703-2417
Phone
(507) 455-6200
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Amego Inc Past Accepting new patients
Amego, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

33 Perry Ave
Attleboro, MA 02703-2417

Mailing address

24 Hemlocks
Lakeville, MA 02347-2461

Other practice location 1

41 Pleasant St
Norton, MA 02766-2070
Phone (508) 455-6200

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL jmmax512@gmail.con Direct

Other providers in Attleboro, MA

All providers in Attleboro, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.