Healthcare Provider Details

I. General information

NPI: 1821850199
Provider Name (Legal Business Name): ANDREA GARVEY M.S. ABA, BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA GARVEY M.S. ABA, BCBA, LABA

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 MAIN ST STE 2.3U
HATFIELD MA
01038-7919
US

IV. Provider business mailing address

62 MAIN ST STE HATFIELD
HATFIELD MA
01038-7919
US

V. Phone/Fax

Practice location:
  • Phone: 413-247-6364
  • Fax:
Mailing address:
  • Phone: 413-247-6364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA10000684
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number146.0134354
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: