Mitrano, Allyssa
Mitrano, Allyssa is an individual health care provider with primary practice located at 1501 Main St Ste 30 , Tewksbury MA 01876-4700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mitrano, Allyssa can be contacted via phone (508) 363-0200.Contact Information
Primary practice address
1501 Main St Ste 30
Tewksbury MA 01876-4700
Phone: (508) 363-0200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
NPI number | 1841601648 |
---|---|
LBN Legal business name | Mitrano, Allyssa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2014 |
Last updated | Jul 27th, 2021 - about 4 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 | 1841601648 | NPPES |
Massachusetts | MEDICAID | 110026265E |
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