Tina Machado Elderkin
Individual provider Active NPI Behavior Analyst · Rehoboth, MA
NPI 1619286259 · NPPES record last updated Sep 30, 2010
Key facts
- NPI
- 1619286259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- STUDENT
- Practice address
- 23 Broad St
Rehoboth, MA 02769-1216 - Phone
- (177) 499-1213
- NPI assigned
- Sep 30, 2010
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | STUDENT | Yes |
Addresses
Primary practice location
23 Broad St
Rehoboth, MA 02769-1216
Mailing address
23 Broad St
Rehoboth, MA 02769
Phone (774) 991-2138
Other providers in Rehoboth, MA
- Kathleen Darowski
- Jaden Reign Deblois
- Megan P. Douglas
- Natasha Lyn Dow
- Maria Isabel Dunn
- Christina Arruda Ferro
- Susan Ann Fiske
- Fit Moms Physical Therapy & Wellness LLC
- Evan Patrick Fitton
- Kayleigh Foley
All providers in Rehoboth, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2010. 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.