Brill, Matthew
Brill, Matthew is an individual health care provider with primary practice located at 14 Pacella Park Dr , Randolph MA 02368-1756. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Brill, Matthew can be contacted via phone (781) 437-1323.Contact Information
Primary practice address
14 Pacella Park Dr
Randolph MA 02368-1756
Phone: (781) 437-1323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1508169020 |
|---|---|
| LBN Legal business name | Brill, Matthew |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2010 |
| Last updated | Dec 7th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508169020 | NPPES |
| Massachusetts | Other | 042197449 | TRICARE |
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