Healthcare Provider Details

I. General information

NPI: 1750205001
Provider Name (Legal Business Name): MS. AVERY J PICARD I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 FLAMES RD
MARSHFIELD MA
02050-2303
US

IV. Provider business mailing address

94 FLAMES RD
MARSHFIELD MA
02050-2303
US

V. Phone/Fax

Practice location:
  • Phone: 781-424-4452
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: