Individual
TAYLOR REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 RIVERSIDE CIR, MARSHFIELD, MA 02050-5816
(617) 733-3161
Mailing address
28 RIVERSIDE CIR, MARSHFIELD, MA 02050-5816
(617) 733-3161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200216120
MASS HEALTH
MA
Enumeration date
08/18/2020
Last updated
08/18/2020
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