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NPI Code Detail

MEDICARE: NICHOLAS GOLDEN PSY.D., BCBA-D, LABA

MEDICARE: NICHOLAS GOLDEN PSY.D., BCBA-D, 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
11041C0700XClinical Social Worker
2103K00000XBehavior Analyst590MA
3101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M20807OTHERMABLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3685661OTHERMATUFTS

General Provider Information

NPI Number : 1851529903
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS GOLDEN PSY.D., BCBA-D, LABA
Provider Business Mailing Address
First Line : 366 CENTER ST
Second Line :
City : GROVELAND
State : MA
Zip : 01834-2106
Country : US
Telephone Number : 508-509-5907
Fax Number :
Provider Business Practice Location Address
First Line : 6 SOUTHSIDE RD
Second Line :
City : DANVERS
State : MA
Zip : 01923-1409
Country : US
Telephone Number : 978-624-2340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2009
Last Update Date : 11/15/2016

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