Daceus, Jonathan
Daceus, Jonathan is an sole proprietor health care provider with primary practice located at 225 Cedar Hill St Ste 200 , Marlborough MA 01752-5900. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Daceus, Jonathan can be contacted via phone (781) 824-2697.Contact Information
Primary practice address
225 Cedar Hill St Ste 200
Marlborough MA 01752-5900
Phone: (781) 824-2697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Massachusetts |
Profile Details
| NPI number | 1346831237 |
|---|---|
| LBN Legal business name | Daceus, Jonathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2021 |
| Last updated | Feb 2nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346831237 | NPPES |
| Other | 238463 | KEY AUTISM |
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