Samantha Benoit
Individual provider Active NPI Behavior Technician · Braintree, MA
NPI 1801326772 · NPPES record last updated Jun 14, 2017
Key facts
- NPI
- 1801326772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 639 Granite St # 230
Braintree, MA 02184-5366 - Phone
- (617) 462-5795
- NPI assigned
- Jun 14, 2017
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
639 Granite St # 230
Braintree, MA 02184-5366
Mailing address
109 Lucas Dr
Stoughton, MA 02072-3464
Phone (617) 462-5795
Other providers in Braintree, MA
- Savanah Benbenek
- Elise Rebecca Bender
- Jennifer Benedict
- Kathleen Benitez Rivera
- Leatha Bennett
- Allison Michelle Bergeron
- Denise Bergeson
- Steven Wayne Bergman
- Christina Rose Berlen
- Lini S Bhatia
All providers in Braintree, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2017. 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.