Berak, Thomas A

Berak, Thomas A is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Berak, Thomas A can be contacted via phone (781) 761-5089.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730-1406
Phone: (781) 761-5089
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1316477292
LBN Legal business name Berak, Thomas A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316477292 NPPES
Massachusetts Other 1004745 FALLON
Massachusetts Other M18633 FALLON
Massachusetts Other 0000023532 FALLON
Massachusetts MEDICAID 110026265E FALLON
Massachusetts Other 042611055 FALLON
Massachusetts Other 1303287 FALLON
Massachusetts Other 99618201 FALLON
Massachusetts Other 1004745 FALLON

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