Provider Demographics
NPI:1568903334
Name:FERDINAND, KARA JOANNE (LABA, BCBA)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:JOANNE
Last Name:FERDINAND
Suffix:
Gender:F
Credentials:LABA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PAUL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-3032
Mailing Address - Country:US
Mailing Address - Phone:781-856-4509
Mailing Address - Fax:
Practice Address - Street 1:24 PAUL RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-3032
Practice Address - Country:US
Practice Address - Phone:781-856-4509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA448103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst