Stephanie Killorin Nelson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

103K00000X Issued in MA

Practice address

331 Montvale Ave
5TH Floor
Woburn, MA 01801-4675

Phone

(781) 281-7601

Fax

(781) 634-6209

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Anne Killorin 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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1124344866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MONTVALE AVE",
            "address_2": "5TH FLOOR",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014675",
            "telephone_number": "781-281-7601",
            "fax_number": "781-634-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Hiller Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MA",
            "postal_code": "027704024",
            "country_code": "US",
            "telephone_number": "774-454-1995",
            "fax_number": "508-273-2353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEPHANIE",
        "middle_name": "KILLORIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KILLORIN",
            "middle_name": "ANNE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• National Toxicology Services, Inc
• Alisa Natsuno, MHC
• Kathleen Naze, OT
• Margaret Nee, PT
• Sharon Neff
• Neugyn-Winpho Inc
• Neurosportelite North Boston, LLC
• New England Home Health Services, Inc.
• New England Life Care, Inc.
• New England Nurses, Inc

• Behavior Analyst in Woburn, MA
• Providers in Woburn, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.