Individual
CARLA M. MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HIGHLAND ST APT A4, TAUNTON, MA 02780-4726
(702) 375-1464
(702) 204-6293
Mailing address
145 HIGHLAND ST APT A4, TAUNTON, MA 02780-4726
(702) 375-1464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487951695
—
NV
Enumeration date
02/24/2011
Last updated
06/19/2025
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