Provider Demographics
NPI:1104634823
Name:MAJEROWSKI, AMELIA MARIA
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:MARIA
Last Name:MAJEROWSKI
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 1:431 EAST ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-3214
Mailing Address - Country:US
Mailing Address - Phone:413-230-4739
Mailing Address - Fax:
Practice Address - Street 1:431 EAST ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-3214
Practice Address - Country:US
Practice Address - Phone:413-230-4739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician