Stephen Baillargeon

Individual provider Active NPI Behavior Analyst · Watertown, MA

NPI 1083086284 · NPPES record last updated Oct 27, 2015

Key facts

NPI
1083086284
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
51 Water St Ste 200
Watertown, MA 02472-4611
Phone
(617) 923-7575
NPI assigned
Oct 27, 2015
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

51 Water St Ste 200
Watertown, MA 02472-4611

Mailing address

51 Water St Ste 200
Watertown, MA 02472-4611
Phone (617) 923-7575

Other providers in Watertown, MA

All providers in Watertown, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.