Healthcare Provider Details

I. General information

NPI: 1679478903
Provider Name (Legal Business Name): SARENA MICAELA COMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 STATE RD
DARTMOUTH MA
02747-3322
US

IV. Provider business mailing address

351 MIDDLE ST
NEW BEDFORD MA
02740-3844
US

V. Phone/Fax

Practice location:
  • Phone: 508-225-6632
  • Fax: 310-759-0264
Mailing address:
  • Phone: 508-225-6632
  • Fax: 310-759-0264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: