Provider Demographics
NPI:1558874123
Name:SAINT-VIL, MOONISH
Entity type:Individual
Prefix:
First Name:MOONISH
Middle Name:
Last Name:SAINT-VIL
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 1:187 DANFORTH ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3574
Mailing Address - Country:US
Mailing Address - Phone:845-531-8874
Mailing Address - Fax:
Practice Address - Street 1:187 DANFORTH ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3574
Practice Address - Country:US
Practice Address - Phone:845-531-8874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician