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Kristofer Sadeck

Behavior Analyst in Plymouth, MA. Individual provider (NPI-1).

NPI number1003264698
StatusActive
Last updated in NPPESMay 25, 2016

Details

NPI
1003264698
Entity type
Individual (NPI-1)
Name
Kristofer Sadeck
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2016
Last updated
May 25, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

64 Industrial Park Rd Ste 4
Plymouth, MA 02360-4881

Phone 508-830-1630

Mailing address

18 Cranberry Way
Marion, MA 02738-1006

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Analyst providers in Plymouth, MA

All 53 Behavior Analyst providers in Plymouth · All 2,407 providers in Plymouth

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