Ethan Dejesus
Behavior Technician · Cambridge, MA
NPI number
1952169039
Practice location
113 Richdale Ave Unit 15Cambridge, MA 02140-3333
- Phone
- (413) 275-9373
NPI record
- NPI
- 1952169039
- Entity type
- Individual (Type 1)
- Enumeration date
- March 12, 2024
- Last updated
- March 12, 2024
- Certified
- March 12, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
38 N Summer St Apt 1bHolyoke, MA 01040-6266
- Phone
- (413) 275-9373
About Ethan Dejesus
Ethan Dejesus is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 113 Richdale Ave Unit 15, Cambridge, MA 02140-3333. The NPI number 1952169039 was assigned on March 12, 2024 and the record was last updated on March 12, 2024.
Frequently asked questions
What is the NPI number of Ethan Dejesus?
The NPI number is 1952169039.
What is the phone number of Ethan Dejesus?
The phone number listed for the practice location is (413) 275-9373.
Where is Ethan Dejesus located?
113 Richdale Ave Unit 15, Cambridge, MA 02140-3333.
What is the taxonomy code for Ethan Dejesus?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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