Active NPI
Lisa E Roche
- Behavior Analyst
- Windham, NH
National Provider Identifier
1316437965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 50 Gordon Mountain Rd
Windham, NH 03087-1323 - Phone
- (978) 808-4138
- NPI assigned
- May 18, 2018
- 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 | Primary |
Addresses
Primary practice location
50 Gordon Mountain Rd
Windham, NH 03087-1323
Mailing address
50 Gordon Mountain Rd
Windham, NH 03087-1323
Phone (978) 808-4138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 455767 | Other | MA | MA TEACHERS CERTIFICATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1316437965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 GORDON MOUNTAIN RD",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871323",
"telephone_number": "978-808-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GORDON MOUNTAIN RD",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871323",
"telephone_number": "978-808-4138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "LISA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA TEACHERS CERTIFICATION",
"identifier": "455767",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.