Melissa Dickison

Individual provider Active NPI Behavior Analyst · Buzzards Bay, MA

NPI 1972943363 · NPPES record last updated Jun 28, 2013

Key facts

NPI
1972943363
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
134 Main St
Buzzards Bay, MA 02532-3221
Phone
(508) 813-6535
NPI assigned
Jun 28, 2013
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

134 Main St
Buzzards Bay, MA 02532-3221

Mailing address

12 Jenny Lind St
Taunton, MA 02780-1724

Other providers in Buzzards Bay, MA

All providers in Buzzards Bay, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.