Provider Demographics
NPI:1780164277
Name:ZANI, FELICIA (MA)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:ZANI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SOUTH BAY COMMUNITY SERVICES
Mailing Address - Street 2:181 UNION STREET SUITE J
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901
Mailing Address - Country:US
Mailing Address - Phone:781-244-1950
Mailing Address - Fax:781-244-1951
Practice Address - Street 1:25 SEAFOAM AVE # 3
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-1229
Practice Address - Country:US
Practice Address - Phone:781-244-1950
Practice Address - Fax:781-244-1951
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst