Individual
MRS. TINA MACHADO ELDERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 BROAD ST, REHOBOTH, MA 02769-1216
(177) 499-1213
Mailing address
23 BROAD ST, REHOBOTH, MA 02769
(774) 991-2138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
STUDENT
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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