Healthcare Provider Details

I. General information

NPI: 1063712230
Provider Name (Legal Business Name): SUSAN CHIU SOLECKI M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 PERRY AVE
ATTLEBORO MA
02703-2417
US

IV. Provider business mailing address

33 PERRY AVE
ATTLEBORO MA
02703-2417
US

V. Phone/Fax

Practice location:
  • Phone: 508-455-6200
  • Fax:
Mailing address:
  • Phone: 508-455-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-10-7248
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: