Active NPIIndividual provider

Lori R Kholomyanskaya

Behavior Technician in Revere, Massachusetts

NPI Number1811688112
Practice location
197 Shirley Ave, Revere, MA 02151-3258
Fax
—
Last updated
May 17, 2023

Lori Ruth Kholomyanskaya is a Behavior Technician based in Revere, MA. Lori Ruth Kholomyanskaya practices in Revere, MA. The NPI Number for Lori Ruth Kholomyanskaya is 1811688112. The current practice location address for Lori Ruth Kholomyanskaya is 197 Shirley Ave, Revere, MA 02151-3258 and can be reached out via phone at 781-485-6709.

Provider Profile Details

NPI Number
1811688112
Provider Name
Lori Ruth Kholomyanskaya
Provider Entity Type
Individual
Gender
Female
Address
197 Shirley Ave, Revere, MA 02151-3258
Phone Number
781-485-6709
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2023
Last Update Date
May 17, 2023
Certification Date
May 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
197 Shirley Ave
Revere, MA 02151-3258
City
Revere
Zip
02151-3258
Phone Number
781-485-6709
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
57 Magnolia RD
Swampscott, MA 01907-2223
City
Swampscott
State
MA
Zip
01907-2223

License Information

Taxonomy
Behavior Technician · 106S00000X · 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 Lori R Kholomyanskaya?

The NPI number of Lori R Kholomyanskaya is 1811688112. It was assigned on May 17, 2023 and is currently active in the NPPES registry.

What is the specialty of Lori R Kholomyanskaya?

Lori R Kholomyanskaya is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Lori R Kholomyanskaya practice?

The practice location is 197 Shirley Ave, Revere, MA 02151-3258. The office can be reached at 781-485-6709 (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 1811688112 directly on the NPPES registry website.

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