Provider Demographics
NPI:1801112933
Name:CAPUANO, MARIA E (BCBA, LABA)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:E
Last Name:CAPUANO
Suffix:
Gender:F
Credentials:BCBA, LABA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:E
Other - Last Name:CAPUANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:54 PUMPKIN LN
Mailing Address - Street 2:
Mailing Address - City:CHARLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01507-5216
Mailing Address - Country:US
Mailing Address - Phone:774-287-3705
Mailing Address - Fax:
Practice Address - Street 1:54 PUMPKIN LN
Practice Address - Street 2:
Practice Address - City:CHARLTON
Practice Address - State:MA
Practice Address - Zip Code:01507-5216
Practice Address - Country:US
Practice Address - Phone:774-287-3705
Practice Address - Fax:774-214-0015
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
MA1838103K00000X
MA1-17-26693103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst