Provider Demographics
NPI:1174935845
Name:FINNERAN, EILEEN (BS SPECIAL EDUCATI)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:FINNERAN
Suffix:
Gender:F
Credentials:BS SPECIAL EDUCATI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78A MILLER ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1112
Mailing Address - Country:US
Mailing Address - Phone:508-254-6514
Mailing Address - Fax:
Practice Address - Street 1:41 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02766-1370
Practice Address - Country:US
Practice Address - Phone:508-254-6514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAS60831738103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst