Kelsey Van Boxel Baron, MA, BCBA, LPA, LABA
Individual provider Active NPI Behavior Analyst · Randolph, MA
NPI 1447775911 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1447775911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- LABA10000249 (MA)
- Practice address
- 41 Pacella Park Dr
Randolph, MA 02368-1755 - Phone
- (781) 437-1215
- Fax
- (781) 394-5387
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LABA10000249 | MA | MD | Behavioral Analyst |
| 5801 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-30896 | NC | |
| Psychologist | 103T00000X | 5801 | NC | |
| Behavior Analyst | 103K00000X | LABA10000249 | MA | Yes |
Addresses
Primary practice location
41 Pacella Park Dr
Randolph, MA 02368-1755
Mailing address
41 Pacella Park Dr
Randolph, MA 02368-1755
Phone (781) 437-1215
Other practice location 1
200 Doctors Dr Ste J
Jacksonville, NC 28546-6308
Phone (910) 333-0814
Other providers in Randolph, MA
- Tanisha Baptiste
- James Michael Barbati
- John F Barbati
- Gerica Barbosa
- Jillian C. Barnett
- Katherine Ann Barone
- Rebecca Barrett
- Gabrielle N Bartholomew
- Bay Healthcare LLC
- BD Physical Therapy Inc
All providers in Randolph, 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 May 22, 2023. 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.