Active NPI
Jennifer Elise Decie-Scott, M.S., BCBA, LABA
- Behavior Analyst
- Danvers, MA
National Provider Identifier
1144877853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2505
- Practice address
- 46 Hobart St
Danvers, MA 01923-1945 - Phone
- (978) 828-8120
- NPI assigned
- Aug 19, 2019
- 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 | 2505 | MA | Primary |
Addresses
Primary practice location
46 Hobart St
Danvers, MA 01923-1945
Mailing address
46 Hobart St
Danvers, MA 01923-1945
Phone (978) 828-8120
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2505 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1144877853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 HOBART ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231945",
"telephone_number": "978-828-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 HOBART ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231945",
"telephone_number": "978-828-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECIE-SCOTT",
"first_name": "JENNIFER",
"middle_name": "ELISE",
"credential": "M.S., BCBA, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.