Individual provider Active NPI

Kimberly Therriault, BCBA

  • Behavior Analyst
  • Westbrook, ME
National Provider Identifier
1154838027
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44617 Issued in ME
Practice address
39 Mechanic St Ste 400
Westbrook, ME 04092-2855
Phone
(207) 887-9113
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-32290 CA
Behavior Analyst 103K00000X 1-20-44617 ME Primary

Addresses

Primary practice location

39 Mechanic St Ste 400
Westbrook, ME 04092-2855

Mailing address

316 Maine St
Brunswick, ME 04011-3360

Other practice location 1

527 Ocean Ave Ste 19
Portland, ME 04103-4972
Phone (207) 573-7424

Other practice location 2

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

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

State licenses

LicenseStateTypeSpecialty
RBT-17-32290CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1154838027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 MECHANIC ST STE 400",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922855",
            "telephone_number": "207-887-9113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Ocean Ave Ste 19",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041034972",
            "country_code": "US",
            "telephone_number": "207-573-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21600 Oxnard St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677807",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERRIAULT",
        "first_name": "KIMBERLY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-32290",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ME",
            "license": "1-20-44617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.