Active NPI
Jamie L Emerson, BCBA
- Behavior Analyst
- Old Town, ME
National Provider Identifier
1326525874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-28674
- Practice address
- 69 Burnham St
Old Town, ME 04468-1940 - Phone
- (207) 505-5246
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- 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 | 1-17-28674 | ME | Primary |
Addresses
Primary practice location
69 Burnham St
Old Town, ME 04468-1940
Mailing address
69 Burnham St
Old Town, ME 04468-1940
Phone (207) 505-5246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-4098229 | Medicaid | ME |
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": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1326525874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 BURNHAM ST",
"city": "OLD TOWN",
"state": "ME",
"postal_code": "044681940",
"telephone_number": "207-505-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 BURNHAM ST",
"city": "OLD TOWN",
"state": "ME",
"postal_code": "044681940",
"telephone_number": "207-505-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "JAMIE",
"middle_name": "L",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ME",
"license": "1-17-28674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82-4098229",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Town, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.