Kiandra Desenna-Mata
Behavior Technician in Worcester, Massachusetts
1649946674- Practice location
- 277 E Mountain St, Worcester, MA 01606-1207
- Phone
- 508-363-0200
- Fax
- —
- Last updated
- August 19, 2021
Kiandra Desenna-Mata is a Behavior Technician based in Worcester, MA. Kiandra Desenna-Mata practices in Worcester, MA. The NPI Number for Kiandra Desenna-Mata is 1649946674. The current practice location address for Kiandra Desenna-Mata is 277 E Mountain St, Worcester, MA 01606-1207 and can be reached out via phone at 508-363-0200.
Provider Profile Details
- NPI Number
- 1649946674
- Provider Name
- Kiandra Desenna-Mata
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 277 E Mountain St, Worcester, MA 01606-1207
- Phone Number
- 508-363-0200
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 19, 2021
- Last Update Date
- August 19, 2021
- Certification Date
- August 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 277 E Mountain St
Worcester, MA 01606-1207 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606-1207
- Phone Number
- 508-363-0200
Provider Business Mailing Address Details
- Address
- 277 E Mountain St
Worcester, MA 01606-1207 - City
- Worcester
- State
- MA
- Zip
- 01606-1207
License Information
- Taxonomy
- 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 Kiandra Desenna-Mata?
The NPI number of Kiandra Desenna-Mata is 1649946674. It was assigned on August 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Kiandra Desenna-Mata?
Kiandra Desenna-Mata is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Kiandra Desenna-Mata practice?
The practice location is 277 E Mountain St, Worcester, MA 01606-1207. The office can be reached at 508-363-0200 (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 1649946674 directly on the NPPES registry website.