Erin M Anzivino

Individual provider Active NPI Behavior Technician · Woburn, MA

NPI 1760977656 · NPPES record last updated Jun 25, 2018

Key facts

NPI
1760977656
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
600 W Cummings Park Ste 1900
Woburn, MA 01801-6469
Phone
(339) 227-4000
NPI assigned
Jun 25, 2018
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

600 W Cummings Park Ste 1900
Woburn, MA 01801-6469

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Woburn, MA

All providers in Woburn, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.