Active NPI
Paula Yvonne Henry, LICSW
- Behavior Analyst
- Boston, MA
National Provider Identifier
1023340635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 115509
- Practice address
- 72 E Dedham St
Boston, MA 02118-2315 - Phone
- (617) 292-9200
- NPI assigned
- Feb 6, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 115509 | MA | Primary |
Addresses
Primary practice location
72 E Dedham St
Boston, MA 02118-2315
Mailing address
4 Black Elk Rd
Sharon, MA 02067-2886
Phone (781) 793-7834
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115509 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265414400000",
"number": "1023340635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BLACK ELK RD",
"city": "SHARON",
"state": "MA",
"postal_code": "020672886",
"telephone_number": "781-793-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 E DEDHAM ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182315",
"telephone_number": "617-292-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "PAULA",
"middle_name": "YVONNE",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-06",
"last_updated": "2010-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "115509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.