Individual
MRS. KENIA BAIA TEODORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BASSETT LN, HYANNIS, MA 02601-3813
(508) 862-0273
Mailing address
PO BOX 472, FORESTDALE, MA 02644-0472
(774) 208-1460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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