Individual
RANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 BRIDLE CROSS RD, FITCHBURG, MA 01420-8919
(413) 270-5851
Mailing address
56 BRIDLE CROSS RD, FITCHBURG, MA 01420-8919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S68568227
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0128563701
TUFTS HEALTH PLAN
MA
Enumeration date
08/17/2017
Last updated
08/17/2017
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