Provider Demographics
NPI:1760226062
Name:SELL, TESS SHAI
Entity type:Individual
Prefix:
First Name:TESS
Middle Name:SHAI
Last Name:SELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 COLLETTE ST APT 3W
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02746-2371
Mailing Address - Country:US
Mailing Address - Phone:508-488-8786
Mailing Address - Fax:
Practice Address - Street 1:157 COLLETTE ST APT 3W
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02746-2371
Practice Address - Country:US
Practice Address - Phone:508-488-8786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician