Shannon Elizabeth Hague, DS

Individual provider Active NPI Behavior Technician · Rochester, MA

NPI 1720646607 · NPPES record last updated May 3, 2024

Key facts

NPI
1720646607
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
31 Hiller Rd
Rochester, MA 02770-4024
Phone
(774) 454-1994
Fax
(508) 273-2353
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

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
Gateway ABA Therapy LLC Current
since May 7, 2024
Accepting new patients

Locations

53 Marion Rd
Unit 2
Wareham, MA 02571
Phone (774) 454-1994

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

31 Hiller Rd
Rochester, MA 02770-4024

Mailing address

53 Marion Rd Unit 2
Wareham, MA 02571-1406
Phone (774) 454-1994

Other providers in Rochester, MA

All providers in Rochester, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.