BODY DYNAMICS NUTRITION (NPI# 1073078531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073078531 |
| Entity Type | Organization |
| Organization Name | BODY DYNAMICS NUTRITION |
| Practice Address |
11 Apex Dr Marlborough MA 01752-1858 |
| Mailing Address |
10 Brook Ln Berlin MA 01503-1672 |
| Practice Telephone | 3059247319 |
| Mailing Telephone | 3059247319 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | ANDREA SZEBENI (OWNER) |
| Authorized Official Telephone | 3059247319 |
| Authorized Official Credential | MS, RD, LD/N |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| Street Address |
11 APEX DR |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772876 | Demsina Babazadeh | Dietitian, Registered | 449 Canal St Apt 606, Somerville, MA 02145-4364 | 2020-08-26 |
| 1356872782 | Lorrie S Young | Dietitian, Registered | 15 Samoset Rd, Dedham, MA 02026-7113 | 2017-03-27 |
| 1902228133 | Susan Chanin | Dietitian, Registered | 203 Primrose Dr, Longmeadow, MA 01106-2535 | 2014-01-07 |
| 1023395613 | Christine Elizabeth Mclennan | Dietitian, Registered | 54 Elm St, Framingham, MA 01701-3414 | 2011-11-09 |
| 1124140215 | Pat Vasconcellos | Dietitian, Registered | 133 Falmouth Rd Ste F, Mashpee, MA 02649-2611 | 2007-04-06 |
| 1760525158 | Janice L King | Dietitian, Registered | 147 West Main Street, West Brookfield, MA 01585 | 2007-02-15 |
| 1699866251 | Sophia Cheung | Dietitian, Registered | 1 Joslin Pl # 382a, Boston, MA 02215-5306 | 2006-09-27 |
| 1104866284 | Terri Lee Smith | Dietitian, Registered | 6 Summit Rd, Marblehead, MA 01945-2813 | 2006-06-07 |
| 1760477392 | Laura Ann Bradford | Dietitian, Registered | 28 Warwick Rd, Melrose, MA 02176-2124 | 2005-09-20 |
| 1043832660 | Hill Nutrition Consulting LLC | Dietitian, Registered | 26 Ranger Rd, Natick, MA 01760-3232 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on BODY DYNAMICS NUTRITION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.