Active NPIIndividual providerSole proprietor

Ms. Nicole M Kantor, MED, GCABA, CAN

Community/Behavioral Health in Newton, Massachusetts

NPI Number1326587288
Practice location
182 Church St Apt 3, Newton, MA 02458-1962
Fax
—
Last updated
October 11, 2020

Nicole Marie Kantor is a Community/Behavioral Health based in Newton, MA. Nicole Marie Kantor practices in Newton, MA and has the professional credentials of MED, GCABA, CAN. The NPI Number for Nicole Marie Kantor is 1326587288 and holds a License No. 1326587288 (MA). The current practice location address for Nicole Marie Kantor is 182 Church St Apt 3, Newton, MA 02458-1962 and can be reached out via phone at 413-281-0999.

Provider Profile Details

NPI Number
1326587288
Provider Name
Nicole Marie Kantor
Credential
MED, GCABA, CAN
Provider Entity Type
Individual
Gender
Female
Address
182 Church St Apt 3, Newton, MA 02458-1962
Phone Number
413-281-0999
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 13, 2017
Last Update Date
October 11, 2020
Certification Date
October 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
182 Church St Apt 3
Newton, MA 02458-1962
City
Newton
Zip
02458-1962
Phone Number
413-281-0999
Newton, MA 02458Get directions →

Provider Business Mailing Address Details

Address
182 Church St Apt 3
Newton, MA 02458-1962
City
Newton
State
MA
Zip
02458-1962
Phone Number
413-281-9999

License Information

License Number (1)
1326587288
License State (1)
MA
Taxonomy (1)
Behavior Technician · 106S00000X
Taxonomy (2)
Developmental Therapist · 222Q00000X
Taxonomy (3)
Clinic/Center, Health Services · 261QH0100X
Taxonomy (4)
Community/Behavioral Health · 251S00000X · 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 Ms. Nicole M Kantor, MED, GCABA, CAN?

The NPI number of Ms. Nicole M Kantor, MED, GCABA, CAN is 1326587288. It was assigned on February 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Ms. Nicole M Kantor, MED, GCABA, CAN?

Ms. Nicole M Kantor, MED, GCABA, CAN is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number 1326587288.

Where does Ms. Nicole M Kantor, MED, GCABA, CAN practice?

The practice location is 182 Church St Apt 3, Newton, MA 02458-1962. The office can be reached at 413-281-0999 (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 1326587288 directly on the NPPES registry website.

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