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NPI Code Detail

MEDICARE: ASHLEY INIRIO

MEDICARE:   ASHLEY  INIRIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianS92181220MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417543935
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY INIRIO
Provider Business Mailing Address
First Line : 34 BROMFIELD ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2504
Country : US
Telephone Number : 978-390-1348
Fax Number :
Provider Business Practice Location Address
First Line : 155 WEST ST STE 7
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-6010
Country : US
Telephone Number : 508-859-4247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2020
Last Update Date : 12/18/2020

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Directions to “ ASHLEY INIRIO ” Practice Location

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