Kadiatou Djindji Bah
Individual provider Active NPI Behavior Technician · Randolph, MA
NPI 1962016444 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1962016444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 75 N Main St Suite 628
Randolph, MA 02368 - Phone
- (818) 241-6780
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
75 N Main St Suite 628
Randolph, MA 02368
Mailing address
75 N Main St Ste 628
Randolph, MA 02368-4605
Phone (818) 241-6780
Other providers in Randolph, MA
- Chester Ryan Ramirez Azurin
- Mariama Ba
- Molly Babin
- Rachel Bacos
- Reginald Badeau
- Armen Balabanyan
- Priya Arrakundal Balasubramanian
- Connor Ball
- Stephanie Bandoo
- Kafunda Banks
All providers in Randolph, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. 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.