Provider Demographics
NPI:1689261687
Name:FELICI, KENDALL ANN (BT)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:ANN
Last Name:FELICI
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2783
Mailing Address - Country:US
Mailing Address - Phone:239-269-3881
Mailing Address - Fax:
Practice Address - Street 1:450 PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2783
Practice Address - Country:US
Practice Address - Phone:239-269-3881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician