Individual
EMOKE KIBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
182 MISHAWUM RD, WOBURN, MA 01801-2431
(781) 405-0111
Mailing address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10500
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-10500
APPLIED BEHAVIOR ANALYST
—
01
—
LABA133
LICENCED APPLIED BEHAVIOR ANALYST
MA
Enumeration date
11/08/2010
Last updated
05/22/2023
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