Tychel Y Blatche, BS BACHELOR'S DEGREE
Individual provider Active NPI Behavior Technician · Auburn, MA
NPI 1861101628 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1861101628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 48 Sword St
Auburn, MA 01501-2162 - Phone
- (508) 368-2700
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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
48 Sword St
Auburn, MA 01501-2162
Mailing address
25 Alden St # 2
Hartford, CT 06114-1002
Phone (860) 328-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860-328-1050 | Medicaid | CT |
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All providers in Auburn, 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 Dec 5, 2022. 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.