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NPI Code Detail

MEDICARE: KAYLEIGH KARIN ATKINSON

MEDICARE: KAYLEIGH KARIN ATKINSON
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
1106S00000XBehavior TechnicianMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518524123
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEIGH KARIN ATKINSON
Provider Business Mailing Address
First Line : 11 SOUTHSIDE AVE
Second Line :
City : LYNN
State : MA
Zip : 01905-1517
Country : US
Telephone Number : 781-816-3411
Fax Number :
Provider Business Practice Location Address
First Line : 278 MILL RD
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-4106
Country : US
Telephone Number : 888-922-2843
Fax Number : 855-568-2490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2019
Last Update Date : 06/01/2023

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Directions to “ KAYLEIGH KARIN ATKINSON ” Practice Location

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