Active NPI
Erica Lee Gagnon, MED, BCBA
- Behavior Analyst
- Newton, NH
National Provider Identifier
1134438369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 39 Amesbury Rd
Newton, NH 03858-3203 - Phone
- (603) 560-2723
- NPI assigned
- Oct 5, 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 | Primary |
Addresses
Primary practice location
39 Amesbury Rd
Newton, NH 03858-3203
Mailing address
39 Amesbury Rd
Newton, NH 03858-3203
Phone (603) 560-2723
Other names 1
- Erica Lee Demartino
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1134438369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 AMESBURY RD",
"city": "NEWTON",
"state": "NH",
"postal_code": "038583203",
"telephone_number": "603-560-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 AMESBURY RD",
"city": "NEWTON",
"state": "NH",
"postal_code": "038583203",
"telephone_number": "603-560-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "ERICA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MED, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "DEMARTINO",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.