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NPI Code Detail

MEDICARE: MS. KRISTI WITKOWSKI LOMBARDO M.S.ED., BCBA

MEDICARE: MS. KRISTI WITKOWSKI LOMBARDO M.S.ED., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1041861MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11004745OTHERMAFALLON
21303287OTHERMAMBHP
3M18633OTHERMABCBS
499618201OTHERMANETWORK HEALTH
50000023532OTHERMABMC
6042611055OTHERMATAX ID
71004745OTHERMANHP

General Provider Information

NPI Number : 1225320732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTI WITKOWSKI LOMBARDO M.S.ED., BCBA
Provider Business Mailing Address
First Line : 205 BURLINGTON RD
Second Line :
City : BEDFORD
State : MA
Zip : 01730-1406
Country : US
Telephone Number : 781-761-5165
Fax Number : 781-275-7207
Provider Business Practice Location Address
First Line : 205 BURLINGTON RD
Second Line :
City : BEDFORD
State : MA
Zip : 01730-1406
Country : US
Telephone Number : 781-761-5165
Fax Number : 781-275-7207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 09/18/2018

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