Active NPI
Jason Rubino, BCBA, LABA (MA)
- Behavior Analyst
- Salem, NH
National Provider Identifier
1104274158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8336
- Practice address
- 254 N Broadway Unit 112
Salem, NH 03079-2132 - Phone
- (561) 917-7205
- NPI assigned
- Jun 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 475 | MA | |
| Behavior Analyst | 103K00000X | 1-11-8336 | Primary |
Addresses
Primary practice location
254 N Broadway Unit 112
Salem, NH 03079-2132
Mailing address
542 Amherst St Ste B
Nashua, NH 03063-1016
Phone (561) 917-7205
Other practice location 1
155 Main Dunstable Rd Ste 150
Nashua, NH 03060-3640
Phone (561) 917-7205
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 |
|---|---|---|---|
| 475 | MA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1104274158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 AMHERST ST STE B",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631016",
"telephone_number": "561-917-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 N BROADWAY UNIT 112",
"city": "SALEM",
"state": "NH",
"postal_code": "030792132",
"telephone_number": "561-917-7205"
}
],
"practiceLocations": [
{
"address_1": "155 Main Dunstable Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030603640",
"country_code": "US",
"telephone_number": "561-917-7205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBINO",
"first_name": "JASON",
"credential": "BCBA, LABA (MA)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-01",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "475",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-8336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.