Amanda Colon
Individual provider Active NPI Behavior Technician · Orange, MA
NPI 1508503467 · NPPES record last updated May 12, 2022
Key facts
- NPI
- 1508503467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-107028 (MA)
- Practice address
- 5 Cloukey Ave
Orange, MA 01364-1712 - Phone
- (978) 413-1812
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-107028 | MA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-107028 | MA | Yes |
Addresses
Primary practice location
5 Cloukey Ave
Orange, MA 01364-1712
Mailing address
5 Cloukey Ave
Orange, MA 01364-1712
Phone (978) 413-1812
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All providers in Orange, 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 May 12, 2022. 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.