Active NPI
Kristen Zeoli, M.ED BCBA LABA
- Behavior Analyst
- Norwell, MA
National Provider Identifier
1992276380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-29566
- Practice address
- 334 Washington St
Norwell, MA 02061-1756 - Phone
- (617) 930-2721
- NPI assigned
- Dec 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-29566 | MA | Primary |
Addresses
Primary practice location
334 Washington St
Norwell, MA 02061-1756
Mailing address
11 Church St
Carver, MA 02330-1760
Phone (781) 424-6274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-29566 | Other | MA | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1992276380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CHURCH ST",
"city": "CARVER",
"state": "MA",
"postal_code": "023301760",
"telephone_number": "781-424-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 WASHINGTON ST",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611756",
"telephone_number": "617-930-2721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEOLI",
"first_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "M.ED BCBA LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-18-29566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-18-29566",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.