Kelly Elizabeth Cichocki
Individual provider Active NPI Behavior Analyst · Hull, MA
NPI 1649092883 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1649092883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 4033 (MA)
- Practice address
- 108 Main St
Hull, MA 02045-1017 - Phone
- (617) 922-8880
- NPI assigned
- Oct 29, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4033 | MA | MD | Nutritionist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4033 | MA | Yes |
Addresses
Primary practice location
108 Main St
Hull, MA 02045-1017
Mailing address
108 Main St
Hull, MA 02045-1017
Phone (617) 922-8880
Other providers in Hull, MA
- Julie Marie Browne
- Burke Nutrition LLC
- Shannon Burke
- Jennifer M Butler-Rickard
- Amanda M Carr
- Robert James Collins
- Eric Henry Converse
- Lisa Cooper
- Richard Steven Cox Jr.
- Door Is Open Counseling Center
All providers in Hull, 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 Oct 29, 2024. 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.