Allyson Rennell, M.S. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35508 Issued in MA

Practice address

342 Eagle Street
North Adams, MA 01247

Phone

(413) 652-7893

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1376958454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ISLINGTON XING",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018351308",
            "telephone_number": "413-652-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 EAGLE STREET",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "01247",
            "telephone_number": "413-652-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNELL",
        "first_name": "ALLYSON",
        "credential": "M.S. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MA",
            "license": "836",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-19-35508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Len Radin, DMD
• Ralph V. Blanchard, Jr DDS PC
• Derek John Raymond
• Autumn Amber Reardon, PHARMD, RPH
• Donna Ann Rempell, LICSW
• Jordan Rennell, SLPA
• Frances Rice, RN-PC
• Richard S. Donela
• Nancy E. Rickus, CRNA
• Heidi A Riello

• Behavior Analyst in North Adams, MA
• Providers in North Adams, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.