| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA DE VASCONCELOS | 1124627211 | 2024-11-10 |
Samantha De Vasconcelos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124627211. Registration indicates Samantha De Vasconcelos is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Samantha De Vasconcelos |
| Other Provider Name | Samantha Fernandez |
| Practice Office Address | 147 PELHAM ST STE 201 METHUEN, MA US |
| Practice Office Telephone | 6174025444 |
| Mailing Address | 225 CEDAR HILL ST STE 200 MARLBOROUGH, MA 017525900 US |
| Business Telephone | 8578294040 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-24-76279
MA |