Individual provider Active NPI

Elaina Christine Soto- Jansson, BCBA, LABA

  • Behavior Analyst
  • Marlborough, MA
National Provider Identifier
1114690658
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3638-MH-B1 Issued in MA
Practice address
420 Maple St
Marlborough, MA 01752-6202
Phone
(908) 635-9821
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 3638-MH-B1 MA Primary

Addresses

Primary practice location

420 Maple St
Marlborough, MA 01752-6202

Mailing address

225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900

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
3638-MH-B1MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
R & E Therapy Inc Behavior Analyst CurrentSince May 19, 2024 Accepting new patients
Applied Behavioral Programs PC Past Accepting new patients

Locations

198 Charlton Rd
Ste 10
Sturbridge, MA 01566
Phone (774) 241-3905

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.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1114690658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CEDAR HILL ST STE 200",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017526202",
            "telephone_number": "908-635-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO- JANSSON",
        "first_name": "ELAINA",
        "middle_name": "CHRISTINE",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3638-MH-B1",
            "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 Jul 30, 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.