NPIMap

Organization Active NPI

Northeast Applied Behavior Associates LLC

  • Community/Behavioral Health Agency
  • Milford, MA
National Provider Identifier
1245576586
Registry record updated Dec 13, 2012
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-04-1999 Issued in MA
Legal business name
NORTHEAST APPLIED BEHAVIOR ASSOCIATES LLC
Practice address
15 Lantern LN
Milford, MA 01757-3709
Phone
(774) 573-0291
NPI assigned
Dec 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Brian R Doyle, ED.D., ED.S., BCBA-D
Title
Director
Phone
(774) 573-0291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-04-1999 MA Primary

Addresses

Primary practice location

15 Lantern LN
Milford, MA 01757-3709

Mailing address

15 Lantern LN
Milford, MA 01757-3709
Phone (774) 573-0291

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1245576586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LANTERN LN",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573709",
            "telephone_number": "774-573-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LANTERN LN",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573709",
            "telephone_number": "774-573-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST APPLIED BEHAVIOR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "774-573-0291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., ED.S., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "1-04-1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.