Active NPI
Nicole Marie Kantor, M.ED., G.C.ABA, CAN.
- Community/Behavioral Health Agency
- Newton, MA
National Provider Identifier
1326587288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 182 Church St Apt 3
Newton, MA 02458-1962 - Phone
- (413) 281-0999
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1326587288 | MA | |
| Developmental Therapist | 222Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
182 Church St Apt 3
Newton, MA 02458-1962
Mailing address
182 Church St Apt 3
Newton, MA 02458-1962
Phone (413) 281-9999
Other practice location 1
1660 Soldiers Field Rd
Brighton, MA 02135-1108
Phone (413) 281-0999
Other practice location 2
70 union street apt 2
brighton, MA 02135
Phone (413) 281-0999
Other practice location 3
60 Gibson St Apt 210
Dorchester, MA 02122-1245
Phone (413) 281-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326587288 | Other | MA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1326587288 | MA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602374400000",
"number": "1326587288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 CHURCH ST APT 3",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581962",
"telephone_number": "413-281-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 CHURCH ST APT 3",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581962",
"telephone_number": "413-281-0999"
}
],
"practiceLocations": [
{
"address_1": "1660 Soldiers Field Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021351108",
"country_code": "US",
"telephone_number": "413-281-0999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 union street apt 2",
"address_purpose": "LOCATION",
"city": "brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "413-281-0999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Gibson St Apt 210",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021221245",
"country_code": "US",
"telephone_number": "413-281-0999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANTOR",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.ED., G.C.ABA, CAN.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2020-10-11",
"certification_date": "2020-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": "1326587288",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1326587288",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.