Heather Kidney

Individual provider Active NPI Behavior Analyst · Rochester, MA

NPI 1154631372 · NPPES record last updated Oct 21, 2010

Key facts

NPI
1154631372
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
69 Old Tuck Bog Road
Rochester, MA 02770
Phone
(508) 776-8856
NPI assigned
Oct 21, 2010
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

69 Old Tuck Bog Road
Rochester, MA 02770

Mailing address

69 Old Tuck Bog Road
Rochester, MA 02770
Phone (508) 776-8856

Other providers in Rochester, MA

All providers in Rochester, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.