Provider Demographics
NPI:1144524794
Name:NETT, VICKI (BCBA)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:NETT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CAROL DR
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1944
Mailing Address - Country:US
Mailing Address - Phone:774-261-8225
Mailing Address - Fax:
Practice Address - Street 1:29 CAROL DR
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1944
Practice Address - Country:US
Practice Address - Phone:774-261-8225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst