Individual
PAIGE M MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELM ST STE 7, WEST SPRINGFIELD, MA 01089-1589
(413) 734-0300
(413) 734-0800
Mailing address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 437-1215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
LABA10000177
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
09/15/2020
Last updated
05/18/2023
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