Healthcare Provider Details

I. General information

NPI: 1265930721
Provider Name (Legal Business Name): REBECCA MARIE ABRANTES BCBA 1-23-64677
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA MARIE CIARLA

II. Dates (important events)

Enumeration Date: 01/30/2018
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7A CYPRESS DRIVE
BURLINGTON MA
01803
US

IV. Provider business mailing address

7A CYPRESS DRIVE
BURLINGTON MA
01803
US

V. Phone/Fax

Practice location:
  • Phone: 480-320-0752
  • Fax:
Mailing address:
  • Phone: 480-320-0752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: