Individual
CHARLAE ANTONETTE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 HOE SHOP RD, BERNARDSTON, MA 01337-9475
(413) 479-5155
Mailing address
106 HOE SHOP RD, BERNARDSTON, MA 01337-9475
(413) 479-5155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/26/2025
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