Individual provider Active NPI

Drew Ewen, BCBA

  • Behavior Analyst
  • Worcester, MA
National Provider Identifier
1245949858
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4267-MH-B1 Issued in MA
Practice address
425 Lake Ave N Ste 203
Worcester, MA 01605-2073
Phone
(617) 402-5444
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4267-MH-B1 MA Primary
Behavior Analyst 103K00000X 4542 NC

Addresses

Primary practice location

425 Lake Ave N Ste 203
Worcester, MA 01605-2073

Mailing address

2621 Silver Gate CT
Wake Forest, NC 27587-2590
Phone (631) 252-2773

Other practice location 1

3645 Trust Dr Ste 3645
Raleigh, NC 27616-2955
Phone (844) 543-8437

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
4267-MH-B1MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior Institute LLC PastSince Nov 27, 2022 Accepting new patients

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1245949858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 SILVER GATE CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872590",
            "telephone_number": "631-252-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N STE 203",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052073",
            "telephone_number": "617-402-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Trust Dr Ste 3645",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276162955",
            "country_code": "US",
            "telephone_number": "844-543-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWEN",
        "first_name": "DREW",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "4267-MH-B1",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "4542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.