Provider Demographics
NPI:1992579130
Name:BARAIOLO, AURORA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:BARAIOLO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 VALERIE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-1408
Mailing Address - Country:US
Mailing Address - Phone:508-838-5694
Mailing Address - Fax:
Practice Address - Street 1:6270 WORCESTER HWY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:MD
Practice Address - Zip Code:21841-2224
Practice Address - Country:US
Practice Address - Phone:410-632-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA100207235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty