Active NPIIndividual providerSole proprietor

Katelyn Kidney, BCBA, LABA

Behavior Analyst in Andover, Massachusetts

NPI Number1255008900
Practice location
461 River RD, Andover, MA 01810-4349
Fax
—
Last updated
August 30, 2021

Katelyn Kidney is a Behavior Analyst based in Andover, MA. Katelyn Kidney practices in Andover, MA and has the professional credentials of BCBA, LABA. The NPI Number for Katelyn Kidney is 1255008900 and holds a License No. 3655-MH-B1 (MA). The current practice location address for Katelyn Kidney is 461 River RD, Andover, MA 01810-4349 and can be reached out via phone at 978-654-4300.

Provider Profile Details

NPI Number
1255008900
Provider Name
Katelyn Kidney
Credential
BCBA, LABA
Provider Entity Type
Individual
Gender
Female
Address
461 River RD, Andover, MA 01810-4349
Phone Number
978-654-4300
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2021
Last Update Date
August 30, 2021
Certification Date
July 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
461 River RD
Andover, MA 01810-4349
Zip
01810-4349
Phone Number
978-654-4300
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
38 Atkinson St
Lynn, MA 01905-1103
City
Lynn
State
MA
Zip
01905-1103

License Information

License Number
3655-MH-B1
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 Katelyn Kidney, BCBA, LABA?

The NPI number of Katelyn Kidney, BCBA, LABA is 1255008900. It was assigned on August 30, 2021 and is currently active in the NPPES registry.

What is the specialty of Katelyn Kidney, BCBA, LABA?

Katelyn Kidney, BCBA, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 3655-MH-B1.

Where does Katelyn Kidney, BCBA, LABA practice?

The practice location is 461 River RD, Andover, MA 01810-4349. The office can be reached at 978-654-4300 (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 1255008900 directly on the NPPES registry website.

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