Provider Demographics
NPI:1194988808
Name:CARREAU, ABBEY (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ABBEY
Middle Name:
Last Name:CARREAU
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 GOUGH ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2607
Mailing Address - Country:US
Mailing Address - Phone:774-249-8334
Mailing Address - Fax:
Practice Address - Street 1:1814 GOUGH ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-2607
Practice Address - Country:US
Practice Address - Phone:774-249-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-07-3428174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist