Taysha Marinho Santa

Individual provider Active NPI Behavior Technician · Worcester, MA

NPI 1992546345 · NPPES record last updated May 31, 2024

Key facts

NPI
1992546345
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
345 Greenwood St
Worcester, MA 01607-1753
Phone
(508) 363-0200
NPI assigned
May 31, 2024
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

345 Greenwood St
Worcester, MA 01607-1753

Mailing address

345 Greenwood St
Worcester, MA 01607-1753
Phone (508) 363-0200

Other providers in Worcester, MA

All providers in Worcester, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.