Individual
CARRISSA LYNNE REBELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
7 WAVERLY ST, NEW BEDFORD, MA 02740-3359
(508) 858-6866
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37889
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/28/2015
Last updated
09/30/2019
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