Provider Demographics
NPI:1912702788
Name:ADAMS, ANNABELLA YVONNE
Entity type:Individual
Prefix:
First Name:ANNABELLA
Middle Name:YVONNE
Last Name:ADAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WALRIT LN
Mailing Address - Street 2:
Mailing Address - City:CARVER
Mailing Address - State:MA
Mailing Address - Zip Code:02330-1095
Mailing Address - Country:US
Mailing Address - Phone:508-280-9653
Mailing Address - Fax:
Practice Address - Street 1:3 WALRIT LN
Practice Address - Street 2:
Practice Address - City:CARVER
Practice Address - State:MA
Practice Address - Zip Code:02330-1095
Practice Address - Country:US
Practice Address - Phone:508-280-9653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician