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NPI Code Detail

MEDICARE: MONIKA ASOMUGHA BCBA, LABA

MEDICARE: MONIKA ASOMUGHA BCBA, LABA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1518691005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIKA ASOMUGHA BCBA, LABA
Provider Business Mailing Address
First Line : 16 NOYES AVE
Second Line :
City : BROCKTON
State : MA
Zip : 02301-6718
Country : US
Telephone Number : 508-577-8977
Fax Number :
Provider Business Practice Location Address
First Line : 800 TECHNOLOGY CENTER DR STE 110
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-4721
Country : US
Telephone Number : 781-290-3886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 02/27/2024

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