Active NPI
Aaron Bourassa, MS, BCBA
- Behavior Analyst
- Concord, NH
National Provider Identifier
1134899602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-51498
- Practice address
- 57 Regional Dr Ste 7
Concord, NH 03301-8518 - Phone
- (603) 224-7630
- NPI assigned
- Sep 16, 2021
- Last updated
- Sep 16, 2021
- Sex
- Male
- 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 | 1-21-51498 | NH | Primary |
Addresses
Primary practice location
57 Regional Dr Ste 7
Concord, NH 03301-8518
Mailing address
2327 US Route 3
Thornton, NH 03285-6151
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Gersh | Behavior Analyst | Past | Accepting new patients |
| Kevin Gersh | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1134899602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 US ROUTE 3",
"city": "THORNTON",
"state": "NH",
"postal_code": "032856151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 REGIONAL DR STE 7",
"city": "CONCORD",
"state": "NH",
"postal_code": "033018518",
"telephone_number": "603-224-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURASSA",
"first_name": "AARON",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NH",
"license": "1-21-51498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.