IndividualActive
Eliana Roth
NPI 1063923506 · Early Intervention Provider Agency · Woburn, MA
Provider details
- NPI number
- 1063923506
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
5 Constitution Way Ste C
Woburn, MA 01801-1199
Phone: (888) 754-0398
Approximate (ZIP-level) locationGet directions
Mailing address
5 Constitution Way Ste C
Woburn, MA 01801-1199
Additional practice locations (1)
- 15 South StHudson, MA 01749Phone: (508) 298-1637
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2021-08-26
- Certified
- 2021-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.