Most Relevant Information
Provider Data
| NPI Number: | 1003376641 |
| Provider Name: | YARAIMA MERCADO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2019 |
| Last Updated: | 07/25/2019 |
Provider Practice Location
132 ROBBS HILL RD
LUNENBURG
MA
014622167
Practice Location Phone/Fax
| Phone: | 5083029601 |
| Fax: |
Provider Mailing Location
65 BURBANK ST
BOSTON
MA
021153629
Provider Mailing Phone/Fax
| Phone: | 6175041251 |
| Fax: |