Vanessa S Elliott O'Leary Lewack, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LABA3414 Issued in MA

Practice address

749 E Industrial Park Dr
Manchester, NH 03109-5618

Phone

(866) 352-5010

NPI assigned

Mar 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Applied Abc of New Hampshire Inc

  • Behavior Analyst
  • Manchester, NH
  • NPI 1649016080
  NPD
• Applied Behavioral Programs PC

  • Professional Counselor
  • Brookline, MA
  • NPI 1093274086
  NPD (past)

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1306230156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CHAMBERLAIN RUN",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431921",
            "telephone_number": "617-827-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 E INDUSTRIAL PARK DR",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095618",
            "telephone_number": "866-352-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Southside Rd",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019231409",
            "country_code": "US",
            "telephone_number": "978-624-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT O'LEARY LEWACK",
        "first_name": "VANESSA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "349357",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "LABA3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Professional Services
• Elliot Professional Services
• Elliot Professional Services
• Elliot Professional Services
• Elliot Professional Services
• David Elliott, MA
• De Anna Elliott
• Elissa Elliott, LCMHC
• Jacqueline Lee Elliott, MSN, APRN, FNP-BC
• Kelley Pamela Elliott, CTRS/L

• All providers in Manchester, NH
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.