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NPI Code Detail

MEDICARE: KHALEEYA CLARE M.ED

MEDICARE: KHALEEYA CLARE M.ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior AnalystMA
2103K00000XBehavior Analyst11940326MA

General Provider Information

NPI Number : 1588186233
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHALEEYA CLARE M.ED
Provider Business Mailing Address
First Line : 3 COMMONWEALTH AVE APT A12
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-1084
Country : US
Telephone Number : 857-204-7324
Fax Number :
Provider Business Practice Location Address
First Line : 5 STRATFORD RD
Second Line :
City : CANTON
State : MA
Zip : 02021-4213
Country : US
Telephone Number : 781-366-4210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2017
Last Update Date : 09/11/2024

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Directions to “ KHALEEYA CLARE M.ED” Practice Location

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