Active NPI
Emily Sheridan, M.ED., BCBA, LABA
- Behavior Analyst
- Derry, NH
National Provider Identifier
1326585696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 649
- Practice address
- 4 Claremont Ave
Derry, NH 03038-1911 - Phone
- (603) 369-0374
- NPI assigned
- Jan 25, 2017
- 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 | 649 | MA | Primary |
Addresses
Primary practice location
4 Claremont Ave
Derry, NH 03038-1911
Mailing address
4 Claremont Ave
Derry, NH 03038-1911
Phone (603) 369-0374
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 649 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1326585696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CLAREMONT AVE",
"city": "DERRY",
"state": "NH",
"postal_code": "030381911",
"telephone_number": "603-369-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CLAREMONT AVE",
"city": "DERRY",
"state": "NH",
"postal_code": "030381911",
"telephone_number": "603-369-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "EMILY",
"credential": "M.ED., BCBA, LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.