Emily Beth Trudeau

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19006

Practice address

11 Harris Ave
South Hamilton, MA 01982-2013

Phone

(978) 821-9810

NPI assigned

Feb 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Emily Beth Walk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1083986152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HARRIS AVE",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HARRIS AVE",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822013",
            "telephone_number": "978-821-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "EMILY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "565",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-19006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WALK",
            "middle_name": "BETH",
            "credential": "BCBA, LABA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Ann Smith, OTR
• Rebecca Spoonhour
• Megan Taormina
• Hugh M Taylor, MD
• Alison Elizabeth Trimby, LICSW
• Charles Vorrias, D.M.D
• Laura Anne Vorrias, DMD
• Jessica Hammon Webb, LICSW
• Willow Street Family Practice Inc (Patton Park Medical Center)
• David Yarnell, MD

• Behavior Analyst in South Hamilton, MA
• Providers in South Hamilton, MA by specialty
• Behavior Analyst in Massachusetts

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