Provider Demographics
NPI:1326736745
Name:CARR, THOMAS TOBIAS V (MS, BCBA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:TOBIAS
Last Name:CARR
Suffix:V
Gender:M
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 1:56 UNION ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3438
Mailing Address - Country:US
Mailing Address - Phone:803-422-0877
Mailing Address - Fax:
Practice Address - Street 1:145 ROSEMARY ST BLDG A
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-3259
Practice Address - Country:US
Practice Address - Phone:781-479-2261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst