Courtney Dasilva, BS

Individual provider Active NPI Behavior Technician · Lunenburg, MA

NPI 1811364326 · NPPES record last updated Jul 30, 2019

Key facts

NPI
1811364326
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
132 Robbs Hill Rd
Lunenburg, MA 01462-2167
Phone
(774) 270-1766
NPI assigned
Sep 1, 2015
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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Autism Connections, LLC Current
since Aug 6, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

132 Robbs Hill Rd
Lunenburg, MA 01462-2167

Mailing address

132 Robbs Hill Rd
Lunenburg, MA 01462-2167

Other providers in Lunenburg, MA

All providers in Lunenburg, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.