Active NPI
Kerri Long
- Behavior Analyst
- Stoughton, MA
National Provider Identifier
1063206126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LABA10001338
- Practice address
- 800 Technology Center Dr Ste 110
Stoughton, MA 02072-4721 - Phone
- (781) 290-3886
- NPI assigned
- Apr 5, 2025
- Sex
- Unspecified or another gender identity
- 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 | LABA10001338 | MA | Primary |
Addresses
Primary practice location
800 Technology Center Dr Ste 110
Stoughton, MA 02072-4721
Mailing address
39 Mill St
Weymouth, MA 02188-1918
Phone (781) 534-4246
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 |
|---|---|---|---|
| LABA10001338 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proven Behavior Solutions, LLC | Past | Accepting new patients |
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.
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- Norwell, MA
- NPI 1720561921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743811200000",
"number": "1063206126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 MILL ST",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021881918",
"telephone_number": "781-534-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TECHNOLOGY CENTER DR STE 110",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724721",
"telephone_number": "781-290-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KERRI",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-04-05",
"last_updated": "2025-04-05",
"certification_date": "2025-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "LABA10001338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.