Emoke Kibedi, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10500

Practice address

182 Mishawum Rd
Woburn, MA 01801-2431

Phone

(781) 405-0111

NPI assigned

Nov 8, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum Wellness LLC

  • Behavior Analyst
  • Woburn, MA
  • NPI 1649026014
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1679874697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MISHAWUM RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012431",
            "telephone_number": "781-405-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBEDI",
        "first_name": "EMOKE",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-10500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLIED BEHAVIOR ANALYST",
            "identifier": "1-12-10500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED APPLIED BEHAVIOR ANALYST",
            "identifier": "LABA133",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan P. Kessler, MSW
• Kevin P Mooney DDS PC
• Jennifer Khaghani, OT
• Patricia Ann Kheboian
• Julie Khut
• Laura Ellen Kielson
• Emily Kilcoyne
• Heather Killion
• Corey Christopher Kilmartin
• Janice Kim

• Behavior Analyst in Woburn, MA
• Providers in Woburn, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.