Marydinna Ekeh
Individual provider Active NPI Behavior Technician · Dudley, MA
NPI 1134936610 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1134936610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 30 Oxford Ave Apt 1a
Dudley, MA 01571-3279 - Phone
- (774) 502-1881
- NPI assigned
- Dec 17, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
30 Oxford Ave Apt 1a
Dudley, MA 01571-3279
Mailing address
30 Oxford Ave Apt 1a
Dudley, MA 01571-3279
Phone (774) 502-1881
Other providers in Dudley, MA
- Christopher Reed Cushing
- Alexis Desmarais
- Dudley-Charlton Reg School
- Denise S. Duplessis
- Cheryl Duval
- Elder Day Services of SWC Inc
- Family First Adult Foster Care LLC
- Jessica Figueroa
- Brenda Marie Floria
- Jennifer Gancarz
All providers in Dudley, 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 17, 2024. 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.