Kathleen A Quill, BCBA-D
Individual provider Active NPI Behavior Analyst · Essex, MA
NPI 1013544642 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1013544642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1109-MH-B1
- Practice address
- 3 Essex Reach Rd
Essex, MA 01929-1448 - Phone
- (978) 768-9049
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1109-MH-B1 | MA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1109-MH-B1 | MA | |
| Behavior Analyst | 103K00000X | 1109-MH-B1 | Yes |
Addresses
Primary practice location
3 Essex Reach Rd
Essex, MA 01929-1448
Mailing address
PO Box 190
Essex, MA 01929-0004
Phone (978) 768-9049
Other providers in Essex, MA
- Deborah S Mindnich
- Charles N Moore Jr.
- Christopher M Nadai
- Christiana Elizabeth Ostrowski
- Mackenzie Holly Poulos
- Anna Rich
- Marybeth Smith
- Jennifer Wren Tolo
- Town of Essex
- Town of Essex
All providers in Essex, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.