Provider Demographics
NPI:1386520849
Name:MASELLI, SUSAN M (BCBA, LABA)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:MASELLI
Suffix:
Gender:F
Credentials:BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2750
Mailing Address - Country:US
Mailing Address - Phone:978-590-0148
Mailing Address - Fax:
Practice Address - Street 1:304 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2750
Practice Address - Country:US
Practice Address - Phone:978-590-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-05-2334103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst