Kailey Barrows

Individual provider Active NPI Behavior Technician · Mashpee, MA

NPI 1912666405 · NPPES record last updated Dec 11, 2021

Key facts

NPI
1912666405
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
S65219761 (MA)
Practice address
681 Falmouth Rd Ste C11
Mashpee, MA 02649-6310
Phone
(508) 419-4320
NPI assigned
Dec 11, 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

State licenses

LicenseStateTypeSpecialty
S65219761MAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X S65219761 MA Yes

Addresses

Primary practice location

681 Falmouth Rd Ste C11
Mashpee, MA 02649-6310

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Mashpee, MA

All providers in Mashpee, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.