Individual
EVAN CEASER LIMA SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 MILL RD, ACUSHNET, MA 02743-2658
(508) 993-1991
Mailing address
PO BOX 50487, NEW BEDFORD, MA 02745-0017
(508) 993-1991
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
MA
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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