Soumaila Bance
Individual provider Active NPI Behavior Technician · Pittsfield, MA
NPI 1508628843 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1508628843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1 Fenn St
Pittsfield, MA 01201-6278 - Phone
- (413) 344-4843
- NPI assigned
- Jan 23, 2024
- Sex
- Male
- 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
1 Fenn St
Pittsfield, MA 01201-6278
Mailing address
1 Fenn St
Pittsfield, MA 01201-6278
Phone (413) 344-4843
Other providers in Pittsfield, MA
- Amy Bak
- Keturah Baker
- Scott Robert Balawender
- Lauren Kristeen Ballinger
- Matthew Mark Ballinger
- Laurie M Bank
- Kathleen Kelly Banks
- Anurag Bansal
- Arun Bansal
- Megha Bansal
All providers in Pittsfield, 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 Jan 23, 2024. 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.