Female

Ms. Nicole M. Kantor M.ED., G.C.ABA, CAN.

Community/Behavioral Health Agency in Newton, MA(View on Map)

Full Name

Ms. Nicole Marie Kantor M.ED., G.C.ABA, CAN.

NPI Number

1326587288

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/13/2017

Specialties

(Taxonomies)

Code

251S00000X
106S00000X
222Q00000X
261QH0100X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Massachusetts

License Number

1326587288

Contact
Information

Purpose

Mailing
Location

Address

182 CHURCH ST APT 3
182 CHURCH ST APT 3

City

Newton
Newton

State

MA
MA

Postal Code

02458-1962
02458-1962

Country

US
US

Telephone Number

(413) 281-9999
(413) 281-0999

Identifiers

Identifier

1326587288

Identifier State

MA

Identifier Issuer

NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/11/2020

Provider Address