Kia Antoine

Individual provider Active NPI Behavior Technician · Cranston, RI

NPI 1639908072 · NPPES record last updated Aug 1, 2024

Key facts

NPI
1639908072
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
13 Ridge St
Cranston, RI 02920-7469
Phone
(401) 347-4159
NPI assigned
Aug 1, 2024
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
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

13 Ridge St
Cranston, RI 02920-7469

Mailing address

13 Ridge St
Cranston, RI 02920-7469

Other providers in Cranston, RI

All providers in Cranston, RI · Behavior Technician in Rhode Island

Sources for this page

Verify at the official NPI Registry.