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NPI Code Detail

MEDICARE: NICHOLAS PROULX

MEDICARE: NICHOLAS PROULX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1649153800
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS PROULX
Provider Business Mailing Address
First Line : 5 VENTURA DR
Second Line :
City : DARTMOUTH
State : MA
Zip : 02747-1244
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 VENTURA DR
Second Line :
City : DARTMOUTH
State : MA
Zip : 02747-1244
Country : US
Telephone Number : 508-225-6632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2025
Last Update Date : 07/28/2025

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Directions to “ NICHOLAS PROULX ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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