Maureen A Deluca

Individual provider Active NPI Behavior Technician · Lunenburg, MA

NPI 1295340883 · NPPES record last updated Sep 10, 2020

Key facts

NPI
1295340883
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
132 Robbs Hill Rd
Lunenburg, MA 01462-2167
Phone
(774) 270-1766
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Autism Connections, LLC Current
since Sep 13, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

132 Robbs Hill Rd
Lunenburg, MA 01462-2167

Mailing address

385 Central St Apt 2
Foxboro, MA 02035-2665
Phone (617) 759-1496

Other providers in Lunenburg, MA

All providers in Lunenburg, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.