Provider Demographics
NPI:1437236288
Name:TOWN OF BILLERICA SCHOOL DEPT
Entity Type:Organization
Organization Name:TOWN OF BILLERICA SCHOOL DEPT
Other - Org Name:PROJECT BEAM EARLY INTERVENTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SERIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-436-9500
Mailing Address - Street 1:35 RIVER ST
Mailing Address - Street 2:PROJECT BEAM BMHS
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821
Mailing Address - Country:US
Mailing Address - Phone:978-436-9405
Mailing Address - Fax:978-436-9412
Practice Address - Street 1:35 RIVER ST
Practice Address - Street 2:PROJECT BEAM BMHS
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821
Practice Address - Country:US
Practice Address - Phone:978-436-9405
Practice Address - Fax:978-436-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1802844Medicaid
MA719170OtherTUFTS
MAEI009OtherBCBS
MA611946OtherPILGRIM
MA3082120OtherNPH
MA3082120OtherNPH