Healthcare Provider Details

I. General information

NPI: 1437415049
Provider Name (Legal Business Name): MRS. KRISTIN ELIZABETH MONAST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 SOCKANOSSET CROSS RD STE 100
CRANSTON RI
02920-5529
US

IV. Provider business mailing address

45 SOCKANOSSET CROSS RD STE 100
CRANSTON RI
02920-5529
US

V. Phone/Fax

Practice location:
  • Phone: 401-409-2608
  • Fax:
Mailing address:
  • Phone: 401-409-2608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA10002299
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: