MEDICARE: A NEW APPROACH, PLLC

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
1	103K00000X	Behavior Analyst	409	MA
2	101YM0800X	Mental Health Counselor	9732	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1801303623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW APPROACH, PLLC

Provider Business Mailing Address
First Line	:	1017 TURNPIKE ST STE 13
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-2828
Country	:	US
Telephone Number	:	781-767-7737
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017 TURNPIKE ST STE 13
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-2828
Country	:	US
Telephone Number	:	781-767-7737
Fax Number	:

Authorized Official
Title or Position	:	CLINICIAN/FOUNDER
Name	:	MARYELLEN NEWMAN
Credential	:	LMHC, BCBA, LABA
Telephone Number	:	781-767-7737

Provider Enumeration Date	:	01/02/2018
Last Update Date	:	01/02/2018

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