Mary S Banjo
Individual provider Active NPI Behavior Technician · Dartmouth, MA
NPI 1609730134 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1609730134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 634 State Rd Unit a-2
Dartmouth, MA 02747-1818 - Phone
- (781) 440-0400
- NPI assigned
- Dec 10, 2025
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
634 State Rd Unit a-2
Dartmouth, MA 02747-1818
Mailing address
634 State Rd Unit a-2
Dartmouth, MA 02747-1818
Phone (781) 440-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
Other providers in Dartmouth, MA
- Ava Medical PLLC
- Selina Avelino
- Courtney Bailey
- Lisa Marie Bailey
- Emily Ann Bak
- Sylvia E Barber
- Troy Tyler Barboza
- Luke Alexander Barre
- Kaitlyn Bastarache
- Bayada Home Health Care, Inc.
All providers in Dartmouth, 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 Dec 10, 2025. 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.