Courtney Marie Enos

Individual provider Active NPI Behavior Technician · Rochester, MA

NPI 1821802208 · NPPES record last updated Feb 5, 2025

Key facts

NPI
1821802208
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
31 Hiller Rd
Rochester, MA 02770-4024
Phone
(774) 454-1994
NPI assigned
Feb 5, 2025
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 Feb 9, 2025
Accepting new patients

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
Wareham, MA 02571-1406

Other providers in Rochester, MA

All providers in Rochester, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.