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)Name
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