Deon Achilles
Individual provider Active NPI Counselor · Braintree, MA
NPI 1689385296 · NPPES record last updated Dec 6, 2022
Key facts
- NPI
- 1689385296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 400 Washington St Ste 106
Braintree, MA 02184-4764 - Phone
- (617) 548-2093
- NPI assigned
- Dec 6, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
400 Washington St Ste 106
Braintree, MA 02184-4764
Mailing address
400 Washington St Ste 106
Braintree, MA 02184-4764
Phone (617) 548-2093
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2022. 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.