Mohamed Ahmed
Individual provider Active NPI Behavior Technician · Randolph, MA
NPI 1124895255 · NPPES record last updated Dec 8, 2023
Key facts
- NPI
- 1124895255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 41 Pacella Park Dr
Randolph, MA 02368-1755 - Phone
- (781) 440-0400
- NPI assigned
- Dec 8, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
41 Pacella Park Dr
Randolph, MA 02368-1755
Mailing address
41 Pacella Park Dr
Randolph, MA 02368-1755
Phone (781) 440-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
Other providers in Randolph, MA
- Adedayo Adesogan
- Advanced Health Care Incorporated
- Cleusa Afonso
- Portia Mavis Aku Agbo
- Agile Healthcare Staffing Services LLC
- Barbara Akanda
- Ramota Aduke Akindipe
- Folasade A Akinwumi
- Alafia Center LLC
- Timothy Justin Albin
All providers in Randolph, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2023. 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.