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Individual provider Active NPI Behavior Technician · Wells, VT

NPI 1649813627 · NPPES record last updated Oct 30, 2020

Key facts

NPI
1649813627
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
85 South Street
Wells, VT 05774
Phone
(845) 677-9069
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Brewster & Associates, Inc. Current
since Oct 27, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

85 South Street
Wells, VT 05774

Mailing address

PO Box 67
Wells, VT 05774-0067
Phone (845) 677-9069

Other providers in Wells, VT

All providers in Wells, VT · Behavior Technician in Vermont

Sources for this page

Verify at the official NPI Registry.