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Deactivated NPI 1184249963 Deactivated / Inactive NPI Female Practitioner

Kimberly Mazzola

Behavior Technician • Woonsocket, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimberly Mazzola has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2020
NPI Deactivation Date April 04, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Kimberly Mazzola was a registered Behavior Technician practicing in Woonsocket, RI. Throughout an active medical career spanning 3 years, Kimberly Mazzola provided care at the practice location at 222 NORMAN ST until profile deactivation on 2023-04-04.

Practice Location & Contact Primary Location

Practice Address

222 Norman St

Woonsocket, RI 028956647

Telephone 4012579833

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Woonsocket, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Woonsocket, RI (595 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 04, 2023

Record deactivated on April 04, 2023

NPI Profile Active June 08, 2020

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2020

Registered at 222 NORMAN ST, WOONSOCKET, RI 028956647 (Tel: 4012579833)

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Updated Business Mailing Address June 08, 2020

Registered at 222 NORMAN ST, WOONSOCKET, RI 028956647 (Tel: 4012579833)

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Provider Name / Credentials Updated June 08, 2020

Recorded as KIMBERLY MAZZOLA

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2020

Behavior Technician

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Initial NPI Registration & Enumeration June 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184249963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2020
Last Update: June 08, 2020
Deactivation Date: April 04, 2023

Mailing Address

222 Norman St

Woonsocket, RI 028956647

Phone: 4012579833

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.