Provider Demographics
NPI:1497643324
Name:M FLEURY, ATHENA MARIE (MS, BCBA, LABA)
Entity type:Individual
Prefix:
First Name:ATHENA
Middle Name:MARIE
Last Name:M FLEURY
Suffix:
Gender:F
Credentials:MS, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LLOYD ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2036
Mailing Address - Country:US
Mailing Address - Phone:413-885-0749
Mailing Address - Fax:
Practice Address - Street 1:52 FEDERAL AVE
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2121
Practice Address - Country:US
Practice Address - Phone:413-441-7914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALABA4276103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst