Kelly Gandolfo, MS, BCBA
Behavior Analyst in Ashland, Massachusetts
1457782245- Practice location
- 256 Trailside Way, Ashland, MA 01721-2356
- Phone
- 508-395-7598
- Fax
- —
- Last updated
- December 5, 2013
Kelly Gandolfo is a Behavior Analyst based in Ashland, MA. Kelly Gandolfo practices in Ashland, MA and has the professional credentials of MS, BCBA. The NPI Number for Kelly Gandolfo is 1457782245 and holds a License No. 1-13-14104 (MA). The current practice location address for Kelly Gandolfo is 256 Trailside Way, Ashland, MA 01721-2356 and can be reached out via phone at 508-395-7598.
Provider Profile Details
- NPI Number
- 1457782245
- Provider Name
- Kelly Gandolfo
- Credential
- MS, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 256 Trailside Way, Ashland, MA 01721-2356
- Phone Number
- 508-395-7598
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 5, 2013
- Last Update Date
- December 5, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 256 Trailside Way
Ashland, MA 01721-2356 - City
- Ashland
- State
- Massachusetts
- Zip
- 01721-2356
- Phone Number
- 508-395-7598
Provider Business Mailing Address Details
- Address
- 256 Trailside Way
Ashland, MA 01721-2356 - City
- Ashland
- State
- MA
- Zip
- 01721-2356
- Phone Number
- 508-395-7598
License Information
- License Number
- 1-13-14104
- License State
- MA
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Ashland, MA
View all Behavior Analysts in Ashland →Frequently Asked Questions
What is the NPI number of Kelly Gandolfo, MS, BCBA?
The NPI number of Kelly Gandolfo, MS, BCBA is 1457782245. It was assigned on December 5, 2013 and is currently active in the NPPES registry.
What is the specialty of Kelly Gandolfo, MS, BCBA?
Kelly Gandolfo, MS, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-13-14104.
Where does Kelly Gandolfo, MS, BCBA practice?
The practice location is 256 Trailside Way, Ashland, MA 01721-2356. The office can be reached at 508-395-7598 (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 1457782245 directly on the NPPES registry website.