Active NPI
Michelle Marie Gaudet, M.ED, LABA
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1013412915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2206
- Practice address
- 330 Southwest Cutoff
Suite 203
Worcester, MA 01604 - Phone
- (508) 341-2829
- Fax
- (508) 459-9360
- NPI assigned
- Mar 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2206 | MA | Primary |
Addresses
Primary practice location
330 Southwest Cutoff
Suite 203
Worcester, MA 01604
Mailing address
330 SW Cutoff
Worcester, MA 01604-2730
Phone (508) 341-2829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2206 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521849600000",
"number": "1013412915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SW CUTOFF",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016042730",
"telephone_number": "508-341-2829",
"fax_number": "508-459-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 SOUTHWEST CUTOFF",
"address_2": "SUITE 203",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01604",
"telephone_number": "508-341-2829",
"fax_number": "508-459-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDET",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.ED, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2018-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.