Ellyse Acevedo

Individual provider Active NPI Behavior Analyst · North Grafton, MA

NPI 1154834455 · NPPES record last updated Nov 8, 2017

Key facts

NPI
1154834455
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
13 Centennial Dr
North Grafton, MA 01536-1860
Phone
(844) 428-8476
NPI assigned
Nov 8, 2017
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

13 Centennial Dr
North Grafton, MA 01536-1860

Mailing address

13 Centennial Dr
North Grafton, MA 01536-1860
Phone (844) 428-8476

Other providers in North Grafton, MA

All providers in North Grafton, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.