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NPI Code Detail

MEDICARE: MS. KIMBERLY T CESARIO M.ED, BCBA, LABA

MEDICARE: MS. KIMBERLY T CESARIO M.ED, BCBA, LABA
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 Analyst92MA

General Provider Information

NPI Number : 1770894594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY T CESARIO M.ED, BCBA, LABA
Provider Business Mailing Address
First Line : 105 HMS STAYNER DR
Second Line :
City : HINGHAM
State : MA
Zip : 02043-1664
Country : US
Telephone Number : 617-957-6451
Fax Number : 781-385-7324
Provider Business Practice Location Address
First Line : 105 HMS STAYNER DR
Second Line :
City : HINGHAM
State : MA
Zip : 02043-1664
Country : US
Telephone Number : 617-957-6451
Fax Number : 781-385-7324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 08/31/2020

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