Berkshire ABA LLC

Organization Active NPI Behavior Analyst · Lee, MA

NPI 1174288609 · NPPES record last updated Oct 31, 2021

Key facts

NPI
1174288609
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
BERKSHIRE ABA LLC
Practice address
1210 Pleasant St
Lee, MA 01238-9327
Phone
(413) 372-6325
NPI assigned
Oct 31, 2021
Organization subpart
No

Authorized official

Name
Brittany Sumner, BCBA NPI 1396046538
Title
Owner/Bcba
Phone
(413) 372-6325

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 4

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X Yes

Addresses

Primary practice location

1210 Pleasant St
Lee, MA 01238-9327

Mailing address

151 Peru Rd
Windsor, MA 01270-9229
Phone (413) 841-9654

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2021.

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635638400000",
    "number": "1174288609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PERU RD",
            "city": "WINDSOR",
            "state": "MA",
            "postal_code": "012709229",
            "telephone_number": "413-841-9654",
            "fax_number": "413-327-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PLEASANT ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389327",
            "telephone_number": "413-372-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "413-372-6325",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

All providers in Lee, MA · Behavior Analyst in Massachusetts

Sources for this page

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