Active NPI
Gabrielle Rancourt
- Behavior Analyst
- West Springfield, MA
National Provider Identifier
1306162391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 80
- Practice address
- 59 Interstate Dr
West Springfield, MA 01089-5100 - Phone
- (774) 573-0256
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 80 | MA | Primary |
Addresses
Primary practice location
59 Interstate Dr
West Springfield, MA 01089-5100
Mailing address
11 Donamor LN
East Longmeadow, MA 01028-2219
Phone (413) 281-9902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103K00000X | Other | MA | BEHAVIOR ANALYST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506988800000",
"number": "1306162391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DONAMOR LN",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010282219",
"telephone_number": "413-281-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 INTERSTATE DR",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010895100",
"telephone_number": "774-573-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANCOURT",
"first_name": "GABRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2017-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "80",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST",
"identifier": "103K00000X",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.