Healthcare Provider Details

I. General information

NPI: 1134278351
Provider Name (Legal Business Name): SOUTH EASTERN REGIONAL EDUCATION SERVICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 COMMERCE DR
BEDFORD NH
03110-6835
US

IV. Provider business mailing address

29 COMMERCE DR
BEDFORD NH
03110-6835
US

V. Phone/Fax

Practice location:
  • Phone: 603-206-6800
  • Fax:
Mailing address:
  • Phone: 603-206-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTONIO G PARADIS
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 603-206-6800