Kaila Bonaiuto

Individual provider Active NPI Peer Specialist · Easthampton, MA

NPI 1639848856 · NPPES record last updated Sep 10, 2021

Key facts

NPI
1639848856
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
179 Northampton St
Easthampton, MA 01027-1057
Phone
(413) 529-1764
NPI assigned
Sep 10, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

179 Northampton St
Easthampton, MA 01027-1057

Mailing address

179 Northampton St
Easthampton, MA 01027-1057

Other providers in Easthampton, MA

All providers in Easthampton, MA · Peer Specialist in Massachusetts

Sources for this page

Verify at the official NPI Registry.