| NPI | 1295105740 |
|---|---|
| Other Name | CARISSA REBELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-19-37889) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2019-09-30 |