Individual provider Active NPI

Courtney E Houde, BCBA

  • Behavior Analyst
  • Worcester, MA
National Provider Identifier
1104491810
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12045304 Issued in MA
Practice address
65 James St Ste 205
Worcester, MA 01603-1036
Phone
(774) 633-6496
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12045304 MA Primary

Addresses

Primary practice location

65 James St Ste 205
Worcester, MA 01603-1036

Mailing address

65 James St Ste 205
Worcester, MA 01603-1036
Phone (774) 633-6496

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

LicenseStateTypeSpecialty
12045304MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Health Services LLC CurrentSince Dec 26, 2021 Accepting new patients

Locations

65 James St
Ste 205
Worcester, MA 01603
Phone (508) 681-3020

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1104491810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAMES ST STE 205",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031036",
            "telephone_number": "774-633-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST STE 205",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031036",
            "telephone_number": "774-633-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDE",
        "first_name": "COURTNEY",
        "middle_name": "E",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "12045304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.