Evan Ceaser Lima Soares

Individual provider Active NPI Behavior Technician · Acushnet, MA

NPI 1134093040 · NPPES record last updated Oct 2, 2025

Key facts

NPI
1134093040
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
106S00000X (MA)
Practice address
70 Mill Rd
Acushnet, MA 02743-2658
Phone
(508) 993-1991
NPI assigned
Oct 2, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
106S00000XMAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 106S00000X MA Yes

Addresses

Primary practice location

70 Mill Rd
Acushnet, MA 02743-2658

Mailing address

PO Box 50487
New Bedford, MA 02745-0017
Phone (508) 993-1991

Other providers in Acushnet, MA

All providers in Acushnet, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.