Active NPI
Rachael Demello, MA LABA
- Behavior Analyst
- Fall River, MA
National Provider Identifier
1366916769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LABA5000880
- Practice address
- 1 Father Devalles Blvd Ste 311
Fall River, MA 02723-1511 - Phone
- (508) 993-1991
- NPI assigned
- Jan 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | LABA5000880 | MA | Primary |
Addresses
Primary practice location
1 Father Devalles Blvd Ste 311
Fall River, MA 02723-1511
Mailing address
200 Milton St
Dartmouth, MA 02748-1641
Phone (508) 858-1067
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LABA5000880 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1366916769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILTON ST",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027481641",
"telephone_number": "508-858-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FATHER DEVALLES BLVD STE 311",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027231511",
"telephone_number": "508-993-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELLO",
"first_name": "RACHAEL",
"credential": "MA LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "LABA5000880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.