What is Kimberly Gannon's NPI number?

Kimberly Gannon's National Provider Identifier (NPI) is 1154053098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kimberly Gannon's specialty?

Kimberly Gannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kimberly Gannon located?

Kimberly Gannon's practice location on file with NPPES is 109 Oak St Ste G20, Newton, MA 02464-1492.

What is Kimberly Gannon's phone number?

The practice phone number listed in the NPPES registry for Kimberly Gannon is (617) 658-5611.

Is Kimberly Gannon's NPI active?

Yes — Kimberly Gannon's NPI (1154053098) is active in the NPPES registry as of the last update on 2022-06-29.

IndividualActive

Kimberly Gannon

NPI 1154053098 · Behavior Technician · Newton, MA

Kimberly Gannon is a Behavior Technician provider in Newton, MA (NPI 1154053098).

Provider details

NPI number: 1154053098
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

109 Oak St Ste G20

Newton, MA 02464-1492

Phone: (617) 658-5611

Street-level locationGet directions

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Mailing address