Active NPI
Laura Silverman Dimmick, BCBA
- Behavior Analyst
- Marlborough, MA
National Provider Identifier
1124534276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-28209
- Practice address
- 207 Main St Ste 308
Marlborough, MA 01752-3850 - Phone
- (508) 485-5300
- NPI assigned
- Dec 26, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 1-17-28209 | Primary |
Addresses
Primary practice location
207 Main St Ste 308
Marlborough, MA 01752-3850
Mailing address
10 Rutledge St Apt 1E
Worcester, MA 01604-4588
Phone (518) 810-2435
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1124534276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 RUTLEDGE ST APT 1E",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044588",
"telephone_number": "518-810-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MAIN ST STE 308",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523850",
"telephone_number": "508-485-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMMICK",
"first_name": "LAURA",
"middle_name": "SILVERMAN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-17-28209",
"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 Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.