Daberny Antoine
Individual provider Active NPI Counselor · Brockton, MA
NPI 1447953443 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1447953443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 30 Meadowbrook Rd
Brockton, MA 02301-7122 - Phone
- (857) 251-0962
- NPI assigned
- Mar 27, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
30 Meadowbrook Rd
Brockton, MA 02301-7122
Mailing address
88 Nilsson St # 1
Brockton, MA 02301-6472
Phone (857) 251-0962
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 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.