Active NPIIndividual provider

Kimberly K Madar, BCBA

Behavior Analyst in Randolph, Massachusetts

NPI Number1285959122
Practice location
41 Pacella Park Dr, Randolph, MA 02368-1755
Fax
781-437-1220
Last updated
March 30, 2023

Kimberly Klemek Madar is a Behavior Analyst based in Randolph, MA. Kimberly Klemek Madar practices in Randolph, MA and has the professional credentials of BCBA. The NPI Number for Kimberly Klemek Madar is 1285959122 and holds a License No. 1086 (MA). The current practice location address for Kimberly Klemek Madar is 41 Pacella Park Dr, Randolph, MA 02368-1755 and can be reached out via phone at 781-437-1363 and via fax at 781-437-1220.

Provider Profile Details

NPI Number
1285959122
Provider Name
Kimberly Klemek Madar
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
41 Pacella Park Dr, Randolph, MA 02368-1755
Phone Number
781-437-1363
Fax Number
781-437-1220
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Kimberly Ann Klemek, BCBA (Former Name)
Provider Enumeration Date
April 5, 2010
Last Update Date
March 30, 2023
Certification Date
March 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Pacella Park Dr
Randolph, MA 02368-1755
Zip
02368-1755
Phone Number
781-437-1363
Fax Number
781-437-1220
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
41 Pacella Park Dr
Randolph, MA 02368-1755
City
Randolph
State
MA
Zip
02368-1755
Phone Number
781-437-1363
Fax Number
781-437-1220

License Information

Taxonomy (1)
Developmental Therapist · 222Q00000X
License Number (2)
1086
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 Kimberly K Madar, BCBA?

The NPI number of Kimberly K Madar, BCBA is 1285959122. It was assigned on April 5, 2010 and is currently active in the NPPES registry.

What is the specialty of Kimberly K Madar, BCBA?

Kimberly K Madar, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1086.

Where does Kimberly K Madar, BCBA practice?

The practice location is 41 Pacella Park Dr, Randolph, MA 02368-1755. The office can be reached at 781-437-1363 (phone) or 781-437-1220 (fax).

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 1285959122 directly on the NPPES registry website.

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