Active NPI
Maureen Gamache
- Behavior Analyst
- Melbourne, FL
National Provider Identifier
1326534942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30308
- Practice address
- 125 E Nasa Blvd
Melbourne, FL 32901-1900 - Phone
- (321) 345-4232
- Fax
- (321) 765-6434
- NPI assigned
- Jul 6, 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 | 1-18-30308 | VA | Primary |
Addresses
Primary practice location
125 E Nasa Blvd
Melbourne, FL 32901-1900
Mailing address
24035 Whitten Farm CT
Aldie, VA 20105-2767
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": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1326534942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 WHITTEN FARM CT",
"city": "ALDIE",
"state": "VA",
"postal_code": "201052767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E NASA BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011900",
"telephone_number": "321-345-4232",
"fax_number": "321-765-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMACHE",
"first_name": "MAUREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "VA",
"license": "1-18-30308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.