Kelli C Bavaro, MS, CCC-SLP
Speech-Language Pathologist, in Boston, Massachusetts
1790119303- Practice location
- 121 Mount Vernon St, Boston, MA 02108-1104
- Phone
- 617-723-8255
- Fax
- —
- Last updated
- August 4, 2023
Kelli Christine Bavaro is a Speech-Language Pathologist, based in Boston, MA. Kelli Christine Bavaro practices in Boston, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Kelli Christine Bavaro is 1790119303 and holds a License No. 20172 (CA). The current practice location address for Kelli Christine Bavaro is 121 Mount Vernon St, Boston, MA 02108-1104 and can be reached out via phone at 617-723-8255.
Provider Profile Details
- NPI Number
- 1790119303
- Provider Name
- Kelli Christine Bavaro
- Credential
- MS, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 121 Mount Vernon St, Boston, MA 02108-1104
- Phone Number
- 617-723-8255
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 30, 2013
- Last Update Date
- August 4, 2023
- Certification Date
- August 4, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 Mount Vernon St
Boston, MA 02108-1104 - City
- Boston
- State
- Massachusetts
- Zip
- 02108-1104
- Phone Number
- 617-723-8255
Provider Business Mailing Address Details
- Address
- 455 Windrose Way
Chula Vista, CA 91910-7400 - City
- Chula Vista
- State
- CA
- Zip
- 91910-7400
- Phone Number
- 631-790-6290
License Information
- License Number (1)
- 20172
- License State (1)
- CA
- Taxonomy (1)
- Speech-Language Pathologist, · 235Z00000X · Primary
- License Number (2)
- 8242740
- License State (2)
- NY
- Taxonomy (2)
- Speech-Language Pathologist, · 235Z00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Boston, MA
View all Speech-Language Pathologist, providers in Boston →- Alexis M SkafasSpeech-Language Pathologist, · NPI 1881506616
- Allison M Twigg, CF-SLPSpeech-Language Pathologist, · NPI 1760369441
- Allison MaSpeech-Language Pathologist, · NPI 1295298735
- Angelica I HerreraSpeech-Language Pathologist, · NPI 1629747746
- Ayesha AlamSpeech-Language Pathologist, · NPI 1992534481
- Betsy C Micucci, MS, CCC/SLPSpeech-Language Pathologist, · NPI 1962438820
Frequently Asked Questions
What is the NPI number of Kelli C Bavaro, MS, CCC-SLP?
The NPI number of Kelli C Bavaro, MS, CCC-SLP is 1790119303. It was assigned on August 30, 2013 and is currently active in the NPPES registry.
What is the specialty of Kelli C Bavaro, MS, CCC-SLP?
Kelli C Bavaro, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CA under license number 20172.
Where does Kelli C Bavaro, MS, CCC-SLP practice?
The practice location is 121 Mount Vernon St, Boston, MA 02108-1104. The office can be reached at 617-723-8255 (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 1790119303 directly on the NPPES registry website.