Healthcare Provider Details

I. General information

NPI: 1881516698
Provider Name (Legal Business Name): AISHA ZARELA SOLIS CHAVARRIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 WESTERN AVE
LYNN MA
01904-3226
US

IV. Provider business mailing address

549 WESTERN AVE
LYNN MA
01904-3226
US

V. Phone/Fax

Practice location:
  • Phone: 781-971-7135
  • Fax:
Mailing address:
  • Phone: 781-971-7135
  • 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: