Elizabeth Dusablon St. Pierre, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

97 Blakely Rd
Colchester, VT 05446-4008

Phone

(802) 876-7039

NPI assigned

May 6, 2021

Sex

Female

Sole proprietor

No

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.

• SD Associates, LLC

  • Behavior Analyst
  • Williston, VT
  • NPI 1275855975
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1043894009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROOKSIDE DR",
            "city": "SHELDON",
            "state": "VT",
            "postal_code": "054834410",
            "telephone_number": "802-238-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BLAKELY RD",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464008",
            "telephone_number": "802-876-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PIERRE",
        "first_name": "ELIZABETH",
        "middle_name": "DUSABLON",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialists in Ultrasound, Inc.
• Kenneth Gary Spencer, RPH
• Lynn Therese Spencer, M.S., CCC-SLP
• Michael Spillane
• Marga S Sproul, M.D.
• Nathan Stahl
• Emily Staples
• State of Vermont
• Terry R Stein, M.D.
• Stephen B Mason MD PC

• Behavior Analyst in Colchester, VT
• Providers in Colchester, VT by specialty
• Behavior Analyst in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.