Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nerissa K. Fagan

Individual provider Behavior Technician · NPI 1457936585

Nerissa K. Fagan is a Behavior Technician in Newton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

193 Oak St Ste 1 Newton
Newton, MA 02464
Phone: (617) 658-5611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1457936585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address193 Oak St, Suite 1, Newton, MA 02464-1453

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