Healthcare Provider Details

I. General information

NPI: 1609743699
Provider Name (Legal Business Name): DIGITAL DATA INSIGHT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SOUTH ST
BROCKTON MA
02301-6841
US

IV. Provider business mailing address

25 DORCHESTER AVE UNIT 52049
BOSTON MA
02205-7049
US

V. Phone/Fax

Practice location:
  • Phone: 617-735-6509
  • Fax:
Mailing address:
  • Phone: 617-735-6509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: PROF. DUMAS LAFONTANT
Title or Position: TREASURER
Credential: ML
Phone: 617-735-6509