Sammarco, Elodie Leona

Sammarco, Elodie Leona is an individual health care provider with primary practice located at 1111 Elm St Suite 1, West Springfield MA 01089-1540. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Sammarco, Elodie Leona can be contacted via phone (413) 734-0300.

Contact Information

Primary practice address
1111 Elm St Suite 1 West Springfield MA 01089-1540
Phone: (413) 734-0300
Fax: (781) 551-9880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 4665 Massachusetts

Profile Details

NPI number 1255643763
LBN Legal business name Sammarco, Elodie Leona
Credentials B.S. ED
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Jul 13th, 2010 - about 14 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 1255643763 NPPES
Massachusetts MEDICAID 1803204
Massachusetts Other 617927
Massachusetts Other E10021

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