KATELYN MOISAN (NPI# 1356752455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356752455 |
| Entity Type | Individual |
| Full Name | KATELYN MOISAN |
| Credential | BCBA, LABA |
| Practice Address |
295 Donald Lynch Blvd Marlborough MA 01752-4702 |
| Practice Telephone | 5086517500 |
| Mailing Telephone | 5086517500 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
295 DONALD LYNCH BLVD |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336785625 | Kirsten Marie Lally | Behavioral Analyst | 295 Donald Lynch Blvd, Marlborough, MA 01752-4702 | 2019-11-21 |
| 1184286338 | Ryan Lynn Hand | Behavioral Analyst | 295 Donald Lynch Blvd, Marlborough, MA 01752-4702 | 2019-07-08 |
| 1598222614 | Stephen Blaisdell | Behavioral Analyst | 295 Donald Lynch Blvd, Marlborough, MA 01752-4702 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1205494614 | Blueview Autism Intervention Services LLC | Behavioral Analyst | 344 Boston Post Rd E, Marlborough, MA 01752-3655 | 2019-05-31 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1023589280 | Ann Amon-karanja | Behavioral Analyst | 14 Tanners Path, Marlborough, MA 01752-6457 | 2018-12-16 |
| 1124534276 | Laura Silverman Dimmick | Behavioral Analyst | 207 Main St Ste 308, Marlborough, MA 01752-3850 | 2017-12-26 |
| 1205365509 | Marlborough Community Development Corporation | Behavioral Analyst | 40 Mechanic St Ste 300, Marlborough, MA 01752-4425 | 2017-06-08 |
| 1861806655 | Rachael Nahme | Behavioral Analyst | 50 Briarwood Ln Apt 11, Marlborough, MA 01752-2528 | 2014-06-19 |
| 1902236615 | Mary Margaret Marino | Behavioral Analyst | 135 Broadmeadow St, Apt 8, Marlborough, MA 01752-3431 | 2013-11-15 |
| Find all providers in MARLBOROUGH | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on KATELYN MOISAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.