Active NPI
Stephen D Gauthier, M.S., BCBA
- Behavior Analyst
- Seekonk, MA
National Provider Identifier
1285273268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1573 Fall River Ave
Seekonk, MA 02771-3740 - Phone
- (508) 617-8396
- NPI assigned
- Dec 23, 2019
- Last updated
- Dec 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MA | Primary |
Addresses
Primary practice location
1573 Fall River Ave
Seekonk, MA 02771-3740
Mailing address
1573 Fall River Ave
Seekonk, MA 02771-3740
Phone (508) 617-8396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sgauthier@psaba.org | Direct |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Synergy Corporation | Behavior Analyst | Current | Accepting new patients |
| Positive Synergy Corporation | Past | Accepting new patients |
Locations
1573 Fall River Ave
Seekonk, MA 02771
Phone (508) 216-0116
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Seekonk, MA
- NPI 1225456510
-
- Speech-Language Pathologist
- Seekonk, MA
- NPI 1538643598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1285273268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 FALL RIVER AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713740",
"telephone_number": "508-617-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 FALL RIVER AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713740",
"telephone_number": "508-617-8396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTHIER",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sgauthier@psaba.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1573 Fall River Ave",
"city": "Seekonk",
"state": "MA",
"country_code": "US",
"postal_code": "027713740",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seekonk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.