Rooney-Decorpo, Jennifer
Rooney-Decorpo, Jennifer is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Rooney-Decorpo, Jennifer can be contacted via phone (781) 761-5165.Contact Information
Primary practice address
205 Burlington Rd
Bedford MA 01730-1406
Phone: (781) 761-5165
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-11-9436 | Massachusetts |
Profile Details
NPI number | 1881935658 |
---|---|
LBN Legal business name | Rooney-Decorpo, Jennifer |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 4th, 2013 |
Last updated | Apr 26th, 2019 - about 5 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 | 1881935658 | NPPES |
Massachusetts | Other | 1303287 | MBHP |
Massachusetts | MEDICAID | 1303287 | MBHP |
Massachusetts | Other | 0000023532 | MBHP |
Massachusetts | Other | 99618201 | MBHP |
Massachusetts | Other | M18633 | MBHP |
Massachusetts | Other | 1004745 | MBHP |
Massachusetts | Other | 042611055 | MBHP |
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