Mahya Alizadehparidloo

Individual provider Active NPI Behavior Technician · Waltham, MA

NPI 1114498680 · NPPES record last updated Dec 10, 2018

Key facts

NPI
1114498680
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
303 Wyman St Ste 300
Waltham, MA 02451-1255
Phone
(800) 249-1266
NPI assigned
Dec 10, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

303 Wyman St Ste 300
Waltham, MA 02451-1255

Mailing address

303 Wyman St Ste 300
Waltham, MA 02451-1255
Phone (800) 249-1266

Other providers in Waltham, MA

All providers in Waltham, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.