Healthcare Provider Details

I. General information

NPI: 1184031536
Provider Name (Legal Business Name): ANDREA CAROLINA MONTERO-ZINGG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA C MONTERO ZINGG

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 FORTUNE BLVD
MILFORD MA
01757-1723
US

IV. Provider business mailing address

859 WILLARD ST STE 400
QUINCY MA
02169-7469
US

V. Phone/Fax

Practice location:
  • Phone: 508-473-3422
  • Fax:
Mailing address:
  • Phone: 508-473-1984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-29565
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: