Brooke Adams

Individual provider Active NPI Behavior Analyst · Plymouth, MA

NPI 1033652193 · NPPES record last updated Oct 28, 2020

Key facts

NPI
1033652193
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
2665 (MA)
Practice address
16 Bridge Gate
Plymouth, MA 02360-6377
Phone
(508) 287-8692
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2665MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebridge Behavioral Services Behavior Analyst Past
since Nov 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X 2665 MA Yes

Addresses

Primary practice location

16 Bridge Gate
Plymouth, MA 02360-6377

Mailing address

163 Two Ponds Rd
Falmouth, MA 02540-2223

Other providers in Plymouth, MA

All providers in Plymouth, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.