Active NPI
Jeremy Boure
- Behavior Analyst
- Shrewsbury, MA
National Provider Identifier
1164050688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39992
- Practice address
- 560 Boston Tpke
Shrewsbury, MA 01545-5970 - Phone
- (508) 443-0018
- NPI assigned
- Mar 30, 2020
- 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 | 1-19-39992 | MA | Primary |
Addresses
Primary practice location
560 Boston Tpke
Shrewsbury, MA 01545-5970
Mailing address
560 Boston Tpke
Shrewsbury, MA 01545-5970
Phone (508) 443-0018
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Allies Incorporated | Behavior Analyst | Current | Accepting new patients |
Locations
560 Boston Tpke
Shrewsbury, MA 01545
Phone (508) 443-0018
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1164050688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 BOSTON TPKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015455970",
"telephone_number": "508-443-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 BOSTON TPKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015455970",
"telephone_number": "508-443-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURE",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-19-39992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.