Camila Goncalves De Assis

Individual provider Active NPI Behavior Technician · Hopedale, MA

NPI 1013638527 · NPPES record last updated Sep 5, 2022

Key facts

NPI
1013638527
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
261 S Main St
Hopedale, MA 01747-1412
Phone
(508) 663-6580
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
Sport Station Adapted Exercises Corp Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

261 S Main St
Hopedale, MA 01747-1412

Mailing address

261 S Main St
Hopedale, MA 01747-1412
Phone (508) 663-6580

Other providers in Hopedale, MA

All providers in Hopedale, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.