Individual provider Active NPI

Courtney Elizabeth Mullens, BCBA

  • Behavior Analyst
  • Methuen, MA
National Provider Identifier
1386098168
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
13 Branch St Ste 203
Methuen, MA 01844-1900
Phone
(978) 655-9064
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

13 Branch St Ste 203
Methuen, MA 01844-1900

Mailing address

360 Route 101
Suite 11
Bedford, NH 03110-5030
Phone (603) 471-2522

Other practice location 1

360 Route 101
Suite 11
Bedford, NH 03110-5030
Phone (603) 471-2522

Other practice location 2

2299 Woodbury Ave
Newington, NH 03801-7854
Phone (603) 294-0649

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Care Partners PLLC Past Accepting new patients
Autism Bridges LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1386098168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROUTE 101",
            "address_2": "SUITE 11",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105030",
            "telephone_number": "603-471-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BRANCH ST STE 203",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441900",
            "telephone_number": "978-655-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Route 101",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031105030",
            "country_code": "US",
            "telephone_number": "603-471-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017854",
            "country_code": "US",
            "telephone_number": "603-294-0649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLENS",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.