Active NPI
Rebecca Hartman
- Behavior Analyst
- Woburn, MA
National Provider Identifier
1174051486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2569
- Practice address
- 10 Gill St
Woburn, MA 01801-1721 - Phone
- (617) 505-6183
- NPI assigned
- May 31, 2017
- Last updated
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2569 | MA | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
10 Gill St
Woburn, MA 01801-1721
Mailing address
61 Cross LN
Beverly, MA 01915-3823
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2569 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1174051486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CROSS LN",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019153823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GILL ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011721",
"telephone_number": "617-505-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2569",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.