Provider Demographics
NPI:1508176553
Name:MA, JOANNE SAUNGA
Entity Type:Individual
Prefix:MISS
First Name:JOANNE
Middle Name:SAUNGA
Last Name:MA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E SQUANTUM ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:SQUANTUM
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2283
Mailing Address - Country:US
Mailing Address - Phone:857-222-5116
Mailing Address - Fax:
Practice Address - Street 1:33 UTICA DR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-1622
Practice Address - Country:US
Practice Address - Phone:518-944-4419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician