Active NPI
Jessy Lichter, BCBA
- Behavior Analyst
- Marlborough, MA
National Provider Identifier
1114236106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-5149
- Practice address
- 68 Newton St
Marlborough, MA 01752-2811 - Phone
- (508) 308-2255
- NPI assigned
- Sep 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-09-5149 | MA | Primary |
Addresses
Primary practice location
68 Newton St
Marlborough, MA 01752-2811
Mailing address
68 Newton St
Marlborough, MA 01752-2811
Phone (508) 308-2255
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger and Jessy TNM LLC | Behavior Analyst | Current | Accepting new patients |
| The Nest Los Angeles LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Newton, MA
- NPI 1205719499
Behavior Analyst
-
- Behavior Analyst
- Studio City, CA
- NPI 1104666114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285372800000",
"number": "1114236106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 NEWTON ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017522811",
"telephone_number": "508-308-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 NEWTON ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017522811",
"telephone_number": "508-308-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTER",
"first_name": "JESSY",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-25",
"last_updated": "2010-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-09-5149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.