Provider Demographics
NPI:1457787343
Name:BAIAO, THAIS ARAUJO (BA CLINICIAN)
Entity Type:Individual
Prefix:MISS
First Name:THAIS
Middle Name:ARAUJO
Last Name:BAIAO
Suffix:
Gender:F
Credentials:BA CLINICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CENTRAL ST # 1
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2233
Mailing Address - Country:US
Mailing Address - Phone:774-412-9720
Mailing Address - Fax:508-661-2024
Practice Address - Street 1:340 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3200
Practice Address - Country:US
Practice Address - Phone:508-485-9300
Practice Address - Fax:508-485-6904
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health