Gail Diane Palechka, MS BCBA LABA
Individual provider Active NPI Behavior Analyst · Plainfield, MA
NPI 1104333616 · NPPES record last updated Jan 5, 2018
Key facts
- NPI
- 1104333616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1104 (MA)
- Practice address
- 129 N Union St
Plainfield, MA 01070-9604 - Phone
- (269) 598-4318
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104 | MA | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1104 | MA | Yes |
Addresses
Primary practice location
129 N Union St
Plainfield, MA 01070-9604
Mailing address
129 N Union St
Plainfield, MA 01070-9604
Phone (269) 598-4318
Other providers in Plainfield, MA
All providers in Plainfield, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2018. 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.