Stefany Alves
Individual provider Active NPI Behavior Technician · Randolph, MA
NPI 1831936491 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1831936491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 41 Pacella Park Dr
Randolph, MA 02368-1755 - Phone
- (781) 440-0400
- NPI assigned
- Jul 11, 2024
- 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
41 Pacella Park Dr
Randolph, MA 02368-1755
Mailing address
41 Pacella Park Dr
Randolph, MA 02368-1755
Phone (781) 440-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
Other providers in Randolph, MA
- All in Advance Care
- All Seasons Homecare and Staffing LLC
- All Star Family Homecare
- Joi D Allen
- Rebecca Randolph Allen
- Amazing Healthcare Services
- Jean Andy Amecia
- Akhenaten Hotep Amun
- Emily L Anderson
- Spencer L Anderson
All providers in Randolph, 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 Jul 11, 2024. 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.