Elzbieta Szot

Individual provider Active NPI Behavior Technician · Mariborough, MA

NPI 1760180004 · NPPES record last updated Feb 16, 2023

Key facts

NPI
1760180004
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
255 Cedar Hill Street Suite 200
Mariborough, MA 01752
Phone
(857) 829-4040
NPI assigned
Feb 16, 2023
Sex
Female
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

255 Cedar Hill Street Suite 200
Mariborough, MA 01752

Mailing address

255 Cedar Hill Street Suite 200
Mariborough, MA 01752
Phone (857) 829-4040

Sources for this page

Verify at the official NPI Registry.