Danazia Alonzo Upshaw

Individual provider Active NPI Behavior Technician · Lincoln, RI

NPI 1336974153 · NPPES record last updated Nov 14, 2024

Key facts

NPI
1336974153
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
24 Albion Rd
Suite 320
Lincoln, RI 02865-3746
Phone
(855) 295-3276
Fax
(888) 588-2752
NPI assigned
Sep 3, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

24 Albion Rd
Suite 320
Lincoln, RI 02865-3746

Mailing address

1333 S Mayflower Ave
Suite 220
Monrovia, CA 91016-4066
Phone (818) 241-6780

Other providers in Lincoln, RI

All providers in Lincoln, RI · Behavior Technician in Rhode Island

Sources for this page

Verify at the official NPI Registry.