NPI 1902126733 · live from the CMS NPI Registry
Patricia Antonellis
Behavior Analyst in Pocasset, MA. National Provider Identifier 1902126733, active.
NPI record
| NPI | 1902126733 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4 Barlows Landing Rd, 13, Pocasset, MA 02559 |
| Practice phone | 508-563-5767 |
| Enumerated | June 3, 2010 |
| Last updated | June 3, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.