Nicole Boutin
Individual provider Active NPI Behavior Technician · Oxford, MA
NPI 1497410682 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1497410682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 387 Main St
Oxford, MA 01540-1780 - Phone
- (508) 987-4211
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Behavioral Health Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
387 Main St
Oxford, MA 01540-1780
Mailing address
387 Main St
Oxford, MA 01540-1780
Phone (508) 987-4211
Other providers in Oxford, MA
- Awesam Home Health LLC
- Sarah Bailey
- Baroco Corporation
- Melissa Barrieau
- Danielle Beaulieu
- Britney Bretana
- Geraldine Marie Brophy
- Kerri Brothers
- Courtney Buckley
- Jillian Marie Bullock
All providers in Oxford, 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 Nov 3, 2021. 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.