Kelly Thibodeau
Behavior Technician in Greenfield, Massachusetts
1649931429- Practice location
- 329 Conway St Ste 1, Greenfield, MA 01301-1514
- Phone
- 413-774-6301
- Fax
- —
- Last updated
- May 17, 2022
Kelly Thibodeau is a Behavior Technician based in Greenfield, MA. Kelly Thibodeau practices in Greenfield, MA. The NPI Number for Kelly Thibodeau is 1649931429. The current practice location address for Kelly Thibodeau is 329 Conway St Ste 1, Greenfield, MA 01301-1514 and can be reached out via phone at 413-774-6301.
Provider Profile Details
- NPI Number
- 1649931429
- Provider Name
- Kelly Thibodeau
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 329 Conway St Ste 1, Greenfield, MA 01301-1514
- Phone Number
- 413-774-6301
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 4, 2022
- Last Update Date
- May 17, 2022
- Certification Date
- January 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 329 Conway St Ste 1
Greenfield, MA 01301-1514 - City
- Greenfield
- State
- Massachusetts
- Zip
- 01301-1514
- Phone Number
- 413-774-6301
Provider Business Mailing Address Details
- Address
- 27 Little Mohawk RD
Shelburne Falls, MA 01370-9691 - City
- Shelburne Falls
- State
- MA
- Zip
- 01370-9691
- Phone Number
- 413-312-8979
License Information
- License State (1)
- MA
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License State (2)
- MA
- Taxonomy (2)
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kelly Thibodeau?
The NPI number of Kelly Thibodeau is 1649931429. It was assigned on January 4, 2022 and is currently active in the NPPES registry.
What is the specialty of Kelly Thibodeau?
Kelly Thibodeau is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Kelly Thibodeau practice?
The practice location is 329 Conway St Ste 1, Greenfield, MA 01301-1514. The office can be reached at 413-774-6301 (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 1649931429 directly on the NPPES registry website.