| Behavioral Nutrition Inc | |
|
1266 Furnace Brook Pkwy Suite 404 Quincy MA 02169-4758 | |
| (617) 595-7044 | |
| (888) 434-5097 |
| Full Name | Behavioral Nutrition Inc |
|---|---|
| Speciality | Counselor |
| Location | 1266 Furnace Brook Pkwy, Quincy, Massachusetts |
| Authorized Official Name and Position | Michele Quinlan (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 6173723733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Nutrition Inc 1266 Furnace Brook Pkwy Suite 404 Quincy MA 02169-4758 Ph: (617) 595-7044 | Behavioral Nutrition Inc 1266 Furnace Brook Pkwy Suite 404 Quincy MA 02169-4758 Ph: (617) 595-7044 |
| NPI Number | 1851686455 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Medicare PECOS PAC ID | 6507297215 |
|---|---|
| Medicare Enrollment ID | O20200513002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851686455 | NPI | - | NPPES |
| Provider Name | Eleanor Tedesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700930914 PECOS PAC ID: 9638119308 Enrollment ID: I20050512000212 |
| Provider Name | Lucy Wambui Muigai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043437809 PECOS PAC ID: 0143469650 Enrollment ID: I20130613000254 |
| Provider Name | Nicole Meyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720537152 PECOS PAC ID: 3779860960 Enrollment ID: I20170425001653 |
| Provider Name | Noell Redfern |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255961033 PECOS PAC ID: 4981035532 Enrollment ID: I20200514001132 |
| Provider Name | Sarah Teresa Chau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275154049 PECOS PAC ID: 8921413824 Enrollment ID: I20210225002861 |
| Provider Name | Haley Kathleen Guinan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467132746 PECOS PAC ID: 3678912532 Enrollment ID: I20240411004543 |
| Provider Name | Khaled A. Sultani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235735663 PECOS PAC ID: 4587106398 Enrollment ID: I20240607003074 |
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