Individual provider Active NPI

Bridget Theresa Ann Haranas

  • Behavior Technician
  • Wellesley, MA
National Provider Identifier
1033744651
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
42 Washington St Ste 110
Wellesley, MA 02481-1817
Phone
(781) 966-5770
Fax
(774) 213-5479
NPI assigned
Mar 4, 2020
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 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

Practice roles

OrganizationSpecialtyStatusNew patients
Puddingstone Place, LLC CurrentSince Mar 9, 2020 Accepting new patients

Locations

47 E Grove St
Ste 102
Middleboro, MA 02346
Phone (774) 213-1032

42 Washington St
Ste 110
Wellesley Hills, MA 02481
Phone (781) 966-5770

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

42 Washington St Ste 110
Wellesley, MA 02481-1817

Mailing address

47 E Grove St Ste 102
Middleboro, MA 02346-1816
Phone (781) 966-5770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2020.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1033744651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E GROVE ST STE 102",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461816",
            "telephone_number": "781-966-5770",
            "fax_number": "774-213-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WASHINGTON ST STE 110",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811817",
            "telephone_number": "781-966-5770",
            "fax_number": "774-213-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANAS",
        "first_name": "BRIDGET",
        "middle_name": "THERESA ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.