Karen Coston, BCBA
Individual provider Active NPI Behavior Analyst · Westbrook, ME
NPI 1972035467 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1972035467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-17-25004 (ME)
- Practice address
- 15 Saunders Way
Suite900
Westbrook, ME 04092-4833 - Phone
- (207) 878-9663
- NPI assigned
- Apr 3, 2017
- 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 Analyst | 103K00000X | 1-17-25004 | ME | Yes |
Addresses
Primary practice location
15 Saunders Way
Suite900
Westbrook, ME 04092-4833
Mailing address
15 Saunders Way
Suite900
Westbrook, ME 04092-4833
Phone (207) 878-9663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982847075 | Medicaid | ME |
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. 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.