Marybeth Blanchette, BCBA

Individual provider Active NPI Behavior Analyst · Warwick, RI

NPI 1104123025 · NPPES record last updated Feb 13, 2011

Key facts

NPI
1104123025
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
2348 Post Rd
Suite 107
Warwick, RI 02886-2258
Phone
(401) 681-4637
Fax
(401) 681-4675
NPI assigned
Feb 13, 2011
Sex
Female
Sole proprietor
Yes

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

2348 Post Rd
Suite 107
Warwick, RI 02886-2258

Mailing address

201 Providence St
Rehoboth, MA 02769-1024
Phone (401) 301-0108

Other providers in Warwick, RI

All providers in Warwick, RI · Behavior Analyst in Rhode Island

Sources for this page

Verify at the official NPI Registry.