Provider Demographics
NPI:1245020239
Name:CULLINANE, LINDSAY JEAN
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JEAN
Last Name:CULLINANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HIGH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-2103
Mailing Address - Country:US
Mailing Address - Phone:978-626-6042
Mailing Address - Fax:
Practice Address - Street 1:11 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:BOXFORD
Practice Address - State:MA
Practice Address - Zip Code:01921-2103
Practice Address - Country:US
Practice Address - Phone:978-626-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician