Provider Demographics
NPI:1093180978
Name:STEELE, UNDREA CATO- (MED, BCBA)
Entity Type:Individual
Prefix:MS
First Name:UNDREA
Middle Name:CATO-
Last Name:STEELE
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:MS
Other - First Name:UNDREA
Other - Middle Name:
Other - Last Name:CATO-STEELE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, BCBA
Mailing Address - Street 1:6 SOUTHSIDE RD
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923
Mailing Address - Country:US
Mailing Address - Phone:617-275-3030
Mailing Address - Fax:
Practice Address - Street 1:6 SOUTHSIDE RD
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:617-275-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1075103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst