Mandi Magistrelli

Individual provider Active NPI Behavior Technician · Georgetown, MA

NPI 1487260626 · NPPES record last updated Sep 22, 2020

Key facts

NPI
1487260626
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7 Ordway St
Georgetown, MA 01833-1225
Phone
(978) 420-7151
NPI assigned
Sep 22, 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
Northeast Clinical Associates Past
since Sep 27, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7 Ordway St
Georgetown, MA 01833-1225

Mailing address

48 Baltimore St
Lynn, MA 01902-3277

Other providers in Georgetown, MA

All providers in Georgetown, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.