Sophia Marion Beauregard
Individual provider Active NPI Behavior Technician · Onset, MA
NPI 1295440352 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1295440352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4 Union Ave Apt G2
Onset, MA 02558-3044 - Phone
- (508) 322-8255
- NPI assigned
- Jan 23, 2023
- 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
4 Union Ave Apt G2
Onset, MA 02558-3044
Mailing address
18 Glacier Way
Buzzards Bay, MA 02532-2262
Phone (508) 322-8255
Other providers in Onset, MA
All providers in Onset, 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 Jan 23, 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.