Lucas Monteiro Fortes
Individual provider Active NPI Behavior Analyst · Holbrook, MA
NPI 1639680465 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1639680465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- S11669895 (MA)
- Practice address
- 204 S Franklin St
Holbrook, MA 02343-1437 - Phone
- (508) 649-5952
- NPI assigned
- Oct 19, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S11669895 | MA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | S11669895 | MA | Yes |
Addresses
Primary practice location
204 S Franklin St
Holbrook, MA 02343-1437
Mailing address
204 S Franklin St
Holbrook, MA 02343-1437
Phone (508) 649-5952
Other providers in Holbrook, MA
- Everhome Home Care LLC
- Everhome Home Health LLC
- Jessica Faiteau
- Susan Feeley
- Talia J Fenoglietto
- Herman J Francois
- Robert P Gallagher
- George L. Quireyns, Jr.
- Eileen Ginty
- Matthew M Golembeski
All providers in Holbrook, 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 Oct 19, 2017. 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.