Individual
CARLA TEIXEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 GOLDFINCH DR, RAYNHAM, MA 02767-6137
(508) 369-6336
Mailing address
150 GOLDFINCH DR, RAYNHAM, MA 02767-6137
(508) 369-6336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714M81155
UNICARE
MA
Enumeration date
03/06/2020
Last updated
03/06/2020
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