Organization Active NPI

Recreational Education Center of NH LLC

  • Behavior Analyst
  • Londonderry, NH
National Provider Identifier
1154720381
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1063186
Legal business name
RECREATIONAL EDUCATION CENTER OF NH LLC
Practice address
10 Mohawk Dr
Londonderry, NH 03053-3757
Phone
(978) 995-1962
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Tricia Woolard, M.S.ED., BCBA
Title
Executive Director/Manager
Phone
(978) 995-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1063186 Primary

Addresses

Primary practice location

10 Mohawk Dr
Londonderry, NH 03053-3757

Mailing address

10 Mohawk Dr
Londonderry, NH 03053-3757

National Provider Directory

National Provider Directory

Locations

10 Mohawk Dr
Londonderry, NH 03053
Phone (603) 260-6167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1154720381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOHAWK DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MOHAWK DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533757",
            "telephone_number": "978-995-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECREATIONAL EDUCATION CENTER OF NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "WOOLARD",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "978-995-4363",
        "authorized_official_credential": "M.S.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1063186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.