NPI 1376965905 · live from the CMS NPI Registry
Behavioral Nutrition, INC
Dietitian, Registered in Quincy, MA. National Provider Identifier 1376965905, active.
NPI record
| NPI | 1376965905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1266 Furnace Brook Pkwy, Suite 404, Quincy, MA 02169 |
| Practice phone | 617-595-7044 |
| Enumerated | January 16, 2014 |
| Last updated | October 1, 2014 |
| Authorized official | Michele Quinlan, Director Of Clinical Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3475 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.