Individual
ISABELLA-MAI CARRASQUILLO-ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 BIRD ST APT 1, BOSTON, MA 02125-2360
(857) 265-0283
Mailing address
69 BIRD ST APT 1, BOSTON, MA 02125-2360
(857) 265-0283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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