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Kennedy Massa

Behavior Technician

1330 Quail Lake Loop Ste 200
Colorado Springs , Colorado 80906-4651

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Kennedy Massa

Behavior Technician

1330 Quail Lake Loop Ste 200
Colorado Springs , Colorado 80906-4651

(719) 540-2108

Write a Review Save Call

Kennedy Massa

Behavior Technician

1330 Quail Lake Loop Ste 200
Colorado Springs , Colorado 80906-4651

(719) 540-2108 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Behavior Technician

Languages spoken

  • English

Location

1330 Quail Lake Loop Ste 200 Colorado Springs , Colorado 80906-4651

First Address

  • Kennedy Massa
  • 1330 Quail Lake Loop Ste 200
  • Colorado Springs, CO
  • Zip : 80906-4651
  • Phone : (719) 540-2108

Second Address

  • Kennedy Massa
  • 1330 Quail Lake Loop Ste 200
  • Colorado Springs, CO
  • Zip : 80906-4651
  • Phone : (719) 540-2108

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FAQs


Where did Kennedy Massa attend graduate school?

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Where did Kennedy Massa do her residency?

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Where did Kennedy Massa do her fellowship?

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Is Kennedy Massa board certified?

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What type of doctor is Kennedy Massa

Behavior Technician

In what state does Kennedy Massa practice in?

Colorado

Where is Kennedy Massa ’s practice located?

1330 Quail Lake Loop Ste 200 , Colorado Springs, Colorado, 80906-4651

What is Kennedy Massa ’s gender?

Female

Is Kennedy Massa a sole practitioner?

No

Is Kennedy Massa accepting new patients?

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What languages does Kennedy Massa speak?

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Does Kennedy Massa accept insurance?

Yes, Kennedy Massa accepts insurance

Does Kennedy Massa offers telemedicine?

Kennedy Massa has not indicated if she offers telemedicine

What is Kennedy Massa ’s professional license number?

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What is Kennedy Massa ’s NPI number?

1003410994

Does Kennedy Massa have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 106S00000X Behavior Technician

National Provider Identifier

NPI 1003410994
Provider Name Kennedy Massa
First Address Colorado Springs, CO 80906-4651
Second Address Colorado Springs, CO 80906-4651
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/11/2020
Last Update Date 23/11/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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