Kittrell, Ilana

Kittrell, Ilana is an individual health care provider with primary practice located at 109 Oak St Ste G20 , Newton MA 02464-1492. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Kittrell, Ilana can be contacted via phone (617) 658-5611.

Contact Information

Primary practice address
109 Oak St Ste G20 Newton MA 02464-1492
Phone: (617) 658-5611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1508427113
LBN Legal business name Kittrell, Ilana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated May 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508427113 NPPES
Massachusetts MEDICAID 110026265E

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