Shafa Mustafa
Individual provider Active NPI Behavior Technician · Waltham, MA
NPI 1376006155 · NPPES record last updated Apr 9, 2019
Key facts
- NPI
- 1376006155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 303 Wyman St
Waltham, MA 02451-1208 - Phone
- (800) 249-1266
- NPI assigned
- Apr 9, 2019
- 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
303 Wyman St
Waltham, MA 02451-1208
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Phone (800) 249-1266
Other providers in Waltham, MA
- William Murphy
- Cynthia M. Murray
- Elizabeth Murray
- Karen-Lee Murray
- Wilson Musobya
- Nasser Muzaaya
- My Dental LLC
- Lindy Jill Myers
- Poornima Mysore Vishwanath
- Eugenia Naamon
All providers in Waltham, 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 Apr 9, 2019. 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.