Provider Demographics
NPI:1821872011
Name:TURGEON, CODY (BA)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:
Last Name:TURGEON
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ATKINS ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1675
Mailing Address - Country:US
Mailing Address - Phone:603-843-5891
Mailing Address - Fax:
Practice Address - Street 1:8 BONAIR ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-3104
Practice Address - Country:US
Practice Address - Phone:603-843-5891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician