Ann Patricia Poppenga, M.S.ED, BCBA
Individual provider Active NPI Behavior Analyst · Holbrook, MA
NPI 1972805992 · NPPES record last updated Nov 23, 2010
Key facts
- NPI
- 1972805992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-03-1404 (MA)
- Practice address
- 45 Royal Ave
Holbrook, MA 02343-1133 - Phone
- (781) 964-6366
- NPI assigned
- Nov 23, 2010
- 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 Analyst | 103K00000X | 1-03-1404 | MA | Yes |
Addresses
Primary practice location
45 Royal Ave
Holbrook, MA 02343-1133
Mailing address
PO Box 256
Holbrook, MA 02343-0256
Phone (781) 964-6366
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- Janet E. Paul
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- Fabienne Pierre-Louis
- Christopher James Poulin
- Janet Marilyn Price
- Jamie Ramirez
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- Kady Reid
All providers in Holbrook, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2010. 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.