Matyczynski, Kaven

Matyczynski, Kaven is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Matyczynski, Kaven can be contacted via phone (781) 761-5089.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730-1406
Phone: (781) 761-5089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1407480296
LBN Legal business name Matyczynski, Kaven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2020
Last updated Mar 2nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407480296 NPPES
Massachusetts Other 99618201 NETWORK HEALTH
Massachusetts Other 0000023532 NETWORK HEALTH
Massachusetts Other 1303287 NETWORK HEALTH
Massachusetts Other 1004745 NETWORK HEALTH
Massachusetts Other 042611055 NETWORK HEALTH
Massachusetts Other 1004745 NETWORK HEALTH
Massachusetts Other M18633 NETWORK HEALTH

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