Active NPI
Patrick William Kwedor, MS ED, BCBA
- Behavior Analyst
- Framingham, MA
National Provider Identifier
1780973321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4037
- Practice address
- 300 Howard St
Framingham, MA 01702-8313 - Phone
- (508) 620-2645
- NPI assigned
- Apr 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4037 | MA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
300 Howard St
Framingham, MA 01702-8313
Mailing address
75 State St Ste 100
Boston, MA 02109-1826
Phone (857) 763-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4037 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1780973321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 STATE ST STE 100",
"city": "BOSTON",
"state": "MA",
"postal_code": "021091826",
"telephone_number": "857-763-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOWARD ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028313",
"telephone_number": "508-620-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWEDOR",
"first_name": "PATRICK",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MS ED, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "4037",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.