Healthcare Provider Details

I. General information

NPI: 1528999638
Provider Name (Legal Business Name): EZA BARROS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FOXBOROUGH BLVD FL 1
FOXBOROUGH MA
02035-2882
US

IV. Provider business mailing address

542 AMHERST ST STE B
NASHUA NH
03063-1016
US

V. Phone/Fax

Practice location:
  • Phone: 844-923-4222
  • Fax: 844-909-4222
Mailing address:
  • Phone: 844-923-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number10002298
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: