Stefanie Doucette, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

55 Tozer Rd
Beverly, MA 01915

Phone

(978) 969-2894

NPI assigned

Jun 26, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Making Strides ABA

  • Behavior Analyst
  • Ipswich, MA
  • NPI 1356005615
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1033405238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TOZER RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155515",
            "telephone_number": "978-969-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TOZER RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-969-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Woburn St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "MA",
            "postal_code": "018672832",
            "country_code": "US",
            "telephone_number": "617-750-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "STEFANIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Donnellan Healey, LICSW
• Amy Donnelly
• Molly Kennan Donohue
• Leticia Dos Santos
• Alexandra Paige Doucette
• Alexander Doumas, M.D.
• Kristin Linh Dovan, CNM, MS
• Dove Home Care Nursing Services LLC
• Melissa Dowler
• Kathleen Ann Downey, RN

• Behavior Analyst in Beverly, MA
• Providers in Beverly, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.