Individual provider Active NPI

Lindsey Rundlett, BCBA

  • Behavior Analyst
  • Gardner, MA
National Provider Identifier
1245029099
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB679306 Issued in MA
Practice address
90 Parker St
Gardner, MA 01440-3809
Phone
(413) 776-4422
Fax
(603) 719-0907
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB679306 MA Primary

Addresses

Primary practice location

90 Parker St
Gardner, MA 01440-3809

Mailing address

90 Parker St
Gardner, MA 01440-3809
Phone (413) 776-4422

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
BACB679306MAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1245029099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PARKER ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403809",
            "telephone_number": "413-776-4422",
            "fax_number": "603-719-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PARKER ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403809",
            "telephone_number": "413-776-4422",
            "fax_number": "603-719-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDLETT",
        "first_name": "LINDSEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "BACB679306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.