Active NPIIndividual provider

Kayla A Petrie, BCBA

Behavior Analyst in Plymouth, Massachusetts

NPI Number1568950616
Practice location
54 Lake Dr, Plymouth, MA 02360-5644
Fax
—
Last updated
January 4, 2024

Kayla A Petrie is a Behavior Analyst based in Plymouth, MA. Kayla A Petrie practices in Plymouth, MA and has the professional credentials of BCBA. The NPI Number for Kayla A Petrie is 1568950616 and holds a License No. 2462 (MA). The current practice location address for Kayla A Petrie is 54 Lake Dr, Plymouth, MA 02360-5644 and can be reached out via phone at 508-287-4105.

Provider Profile Details

NPI Number
1568950616
Provider Name
Kayla A Petrie
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
54 Lake Dr, Plymouth, MA 02360-5644
Phone Number
508-287-4105
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2018
Last Update Date
January 4, 2024
Certification Date
January 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Lake Dr
Plymouth, MA 02360-5644
Zip
02360-5644
Phone Number
508-287-4105
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
54 Lake Dr
Plymouth, MA 02360-5644
City
Plymouth
State
MA
Zip
02360-5644
Phone Number
508-287-4105
Fax Number
781-385-7324

License Information

License Number
2462
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 Kayla A Petrie, BCBA?

The NPI number of Kayla A Petrie, BCBA is 1568950616. It was assigned on April 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Kayla A Petrie, BCBA?

Kayla A Petrie, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 2462.

Where does Kayla A Petrie, BCBA practice?

The practice location is 54 Lake Dr, Plymouth, MA 02360-5644. The office can be reached at 508-287-4105 (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 1568950616 directly on the NPPES registry website.

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