Fuentes, Betzaida

Fuentes, Betzaida is an individual health care provider with primary practice located at 214 Main St Ste 1 , Malden MA 02148-6908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fuentes, Betzaida can be contacted via phone (617) 477-4050.

Contact Information

Primary practice address
214 Main St Ste 1 Malden MA 02148-6908
Phone: (617) 477-4050
Fax: (857) 244-6299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 334 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0972 Puerto Rico
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-6937

Profile Details

NPI number 1457597668
LBN Legal business name Fuentes, Betzaida
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2008
Last updated Apr 9th, 2024 - about last year

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 1457597668 NPPES
Massachusetts MEDICAID 1303414

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