Healthcare Provider Details

I. General information

NPI: 1770228850
Provider Name (Legal Business Name): KAITLYN FARINHAS-DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAITLYN DIAZ

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 PLEASANT ST STE 100
FALL RIVER MA
02721-3015
US

IV. Provider business mailing address

170 PLEASANT ST STE 100
FALL RIVER MA
02721-3015
US

V. Phone/Fax

Practice location:
  • Phone: 774-294-5722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: