Provider Demographics
NPI:1518534171
Name:CARIATI, REBECCA FRANCESCA (LAC, TCMP, MA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:FRANCESCA
Last Name:CARIATI
Suffix:
Gender:F
Credentials:LAC, TCMP, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-8320
Mailing Address - Country:US
Mailing Address - Phone:802-222-0079
Mailing Address - Fax:
Practice Address - Street 1:299 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-8320
Practice Address - Country:US
Practice Address - Phone:802-222-0079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT091.0134063171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA463500833Medicaid