Kimberly A Borland, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7772 Issued in RI

Practice address

610 Manton Ave
Suite 311
Providence, RI 02909-5633

Phone

(401) 274-6310

Fax

(401) 421-2152

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1184909640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MANTON AVE",
            "address_2": "SUITE 311",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095633",
            "telephone_number": "401-274-6310",
            "fax_number": "401-421-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MANTON AVE",
            "address_2": "SUITE 311",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095633",
            "telephone_number": "401-274-6310",
            "fax_number": "401-421-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLAND",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "1-10-7772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Borges, MS, OTR/L
• Sarah Borges
• Sarah Borges
• Timothy Borges, COTA
• Theodor Borgovan, M.D.
• Bradley Clark Borlase, MD
• Christopher T Born, MD
• Kelsey Borner, PHD
• Suzanne Bornschein, MD
• Erik Borodemos, MSN, APRN, PMHNP-BC

• All providers in Providence, RI
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.