Healthcare Provider Details

I. General information

NPI: 1467380410
Provider Name (Legal Business Name): AIDAN DUNICAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 PERRY AVE
ATTLEBORO MA
02703-2417
US

IV. Provider business mailing address

41 GOVERNOR ST
CUMBERLAND RI
02864-1835
US

V. Phone/Fax

Practice location:
  • Phone: 508-455-6200
  • Fax:
Mailing address:
  • Phone: 401-477-3474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: