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General NPI Number Information
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NPI Number | 1386520849
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Entity Type | Individual
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Provider Name | SUSAN M MASELLI BCBA, LABA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 20 ROCHE BROTHERS WAY SUITE 6-381
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City | NORTH EASTON
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State | MA
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Zip | 02356-1030
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Country | US
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Telephone | 855-832-6727
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Fax | 772-675-9100
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Provider Business Mailing Address
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Address Line | 304 SOUTH ST
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City | FOXBORO
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State | MA
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Zip | 02035-2750
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Country | US
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Telephone | 978-590-0148
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-05-2334
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License Number State | MA
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