Most Relevant Information
Provider Data
| NPI Number: | 1003547191 |
| Provider Name: | CAROLYNN BENNETT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2022 |
| Last Updated: | 06/21/2022 |
Provider Practice Location
1345 PAWTUCKET BLVD APT 22
LOWELL
MA
018544408
Practice Location Phone/Fax
| Phone: | 9784270584 |
| Fax: |
Provider Mailing Location
225 CEDAR HILL ST STE 22
MARLBOROUGH
MA
017525900
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |