Active NPIIndividual provider

Krista G Canon, BCBA

Behavior Analyst in Randolph, Massachusetts

NPI Number1023257292
Practice location
41 Pacella Park Dr, Randolph, MA 02368-1755
Fax
—
Last updated
February 12, 2009

Krista G Canon is a Behavior Analyst based in Randolph, MA. Krista G Canon practices in Randolph, MA and has the professional credentials of BCBA. The NPI Number for Krista G Canon is 1023257292. The current practice location address for Krista G Canon is 41 Pacella Park Dr, Randolph, MA 02368-1755 and can be reached out via phone at 781-437-1323.

Provider Profile Details

NPI Number
1023257292
Provider Name
Krista G Canon
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
41 Pacella Park Dr, Randolph, MA 02368-1755
Phone Number
781-437-1323
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2009
Last Update Date
February 12, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Pacella Park Dr
Randolph, MA 02368-1755
Zip
02368-1755
Phone Number
781-437-1323
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
6363 Christie Ave Apt 402
Emeryville, CA 94608-1916
City
Emeryville
State
CA
Zip
94608-1916
Phone Number
781-437-1323

License Information

License State
MA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Krista G Canon, BCBA?

The NPI number of Krista G Canon, BCBA is 1023257292. It was assigned on February 12, 2009 and is currently active in the NPPES registry.

What is the specialty of Krista G Canon, BCBA?

Krista G Canon, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Krista G Canon, BCBA practice?

The practice location is 41 Pacella Park Dr, Randolph, MA 02368-1755. The office can be reached at 781-437-1323 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023257292 directly on the NPPES registry website.

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