Provider Demographics
NPI:1427469022
Name:CIVIDINI-MOTTA, CATIA
Entity type:Individual
Prefix:
First Name:CATIA
Middle Name:
Last Name:CIVIDINI-MOTTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATIA
Other - Middle Name:
Other - Last Name:CIVIDINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:121 SIMPSON RD
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-6506
Mailing Address - Country:US
Mailing Address - Phone:508-264-5646
Mailing Address - Fax:
Practice Address - Street 1:6823 OAK ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-6791
Practice Address - Country:US
Practice Address - Phone:850-564-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst