MEDICARE: MRS. KIMBERLEY J BIAGINI 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
1	103K00000X	Behavior Analyst		MA

General Provider Information

NPI Number	:	1902324189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLEY J BIAGINI BCBA

Provider Business Mailing Address
First Line	:	560 BOSTON TPKE STE 4
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-5970
Country	:	US
Telephone Number	:	508-443-0018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 SPRINGFIELD ST
Second Line	:
City	:	FEEDING HILLS
State	:	MA
Zip	:	01030-2186
Country	:	US
Telephone Number	:	413-271-3056
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2017
Last Update Date	:	04/10/2026

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