Active NPIIndividual provider

Kerry Donovan

Behavior Analyst in Sutton, Massachusetts

NPI Number1174926885
Practice location
176 Worcester Providence Tpke, Sutton, MA 01590-1901
Fax
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Last updated
March 21, 2022

Kerry Donovan is a Behavior Analyst based in Sutton, MA. Kerry Donovan practices in Sutton, MA. The NPI Number for Kerry Donovan is 1174926885 and holds a License No. SP-1233-SA (MA). The current practice location address for Kerry Donovan is 176 Worcester Providence Tpke, Sutton, MA 01590-1901 and can be reached out via phone at 774-482-1110.

Provider Profile Details

NPI Number
1174926885
Provider Name
Kerry Donovan
Provider Entity Type
Individual
Gender
Female
Address
176 Worcester Providence Tpke, Sutton, MA 01590-1901
Phone Number
774-482-1110
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
October 8, 2014
Last Update Date
March 21, 2022
Certification Date
March 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
176 Worcester Providence Tpke
Sutton, MA 01590-1901
City
Sutton
Zip
01590-1901
Phone Number
774-482-1110
Sutton, MA 01590Get directions →

Provider Business Mailing Address Details

Address
12 Bainbridge RD
Worcester, MA 01602-2212
City
Worcester
State
MA
Zip
01602-2212

License Information

License Number (1)
SP-1233-SA
License State (1)
MA
License Number (2)
1-18-33061
License State (2)
MA
Taxonomy (2)
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 Kerry Donovan?

The NPI number of Kerry Donovan is 1174926885. It was assigned on October 8, 2014 and is currently active in the NPPES registry.

What is the specialty of Kerry Donovan?

Kerry Donovan is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number SP-1233-SA.

Where does Kerry Donovan practice?

The practice location is 176 Worcester Providence Tpke, Sutton, MA 01590-1901. The office can be reached at 774-482-1110 (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 1174926885 directly on the NPPES registry website.

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