Provider Demographics
NPI:1881440956
Name:MORELLI, KIERSTEN ALCOTT (M ED, BCBA, LABA)
Entity type:Individual
Prefix:MRS
First Name:KIERSTEN
Middle Name:ALCOTT
Last Name:MORELLI
Suffix:
Gender:F
Credentials:M ED, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 BABOOSIC LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-2302
Mailing Address - Country:US
Mailing Address - Phone:978-877-6552
Mailing Address - Fax:
Practice Address - Street 1:248 MILL RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-4146
Practice Address - Country:US
Practice Address - Phone:978-455-8244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALABA10000323103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst