Individual
CARLEIGH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27B BRIDGE ST, MANCHESTER BY THE SEA, MA 01944-1410
(818) 326-6754
Mailing address
27B BRIDGE ST, MANCHESTER BY THE SEA, MA 01944-1410
(818) 326-6754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79070
MA
Other
Enumeration date
10/03/2021
Last updated
04/20/2026
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