NPIMap

Organization Active NPI

Vanguard Growth Alliance LLC

  • Behavior Technician
  • Braintree, MA
National Provider Identifier
1346948437
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
VANGUARD GROWTH ALLIANCE LLC
Practice address
632 Washington St Unit C1
Braintree, MA 02184-5738
Phone
(413) 404-7992
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Yijun ChenNPI 1407343783
Title
Manager
Phone
(413) 404-7992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

632 Washington St Unit C1
Braintree, MA 02184-5738

Mailing address

632 Washington St Unit C1
Braintree, MA 02184-5738
Phone (413) 404-7992

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1346948437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 WASHINGTON ST UNIT C1",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845738",
            "telephone_number": "413-404-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 WASHINGTON ST UNIT C1",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845738",
            "telephone_number": "413-404-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD GROWTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YIJUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "413-404-7992"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.