Healthcare Provider Details

I. General information

NPI: 1396609301
Provider Name (Legal Business Name): MS. ADDESSA MARGARETTE MAJOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 N MAIN ST
FALL RIVER MA
02720-2142
US

IV. Provider business mailing address

35 WARWICK ST
SPRINGFIELD MA
01104-2498
US

V. Phone/Fax

Practice location:
  • Phone: 413-301-9355
  • Fax:
Mailing address:
  • Phone: 413-301-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: