Healthcare Provider Details

I. General information

NPI: 1174478846
Provider Name (Legal Business Name): PAOLO VALENDY SEIGNON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E MAIN ST
MILFORD MA
01757-2806
US

IV. Provider business mailing address

1258 OSGOOD ST UNIT 3206
NORTH ANDOVER MA
01845-1080
US

V. Phone/Fax

Practice location:
  • Phone: 508-478-0207
  • Fax:
Mailing address:
  • Phone: 978-476-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberRBT-26-508738
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-508738
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: