Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lori Ruth Kholomyanskaya

Individual provider Behavior Technician · NPI 1811688112

Lori Ruth Kholomyanskaya is a Behavior Technician in Revere, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

197 Shirley Ave
Revere, MA 02151-3258
Phone: (781) 485-6709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1811688112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

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