Organization Active NPI

Mayflower Early ABA Services

  • Behavior Analyst
  • Hanover, MA
National Provider Identifier
1396515383
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAYFLOWER EARLY ABA SERVICES
Practice address
1112 Washington St
Hanover, MA 02339-1675
Phone
(781) 424-0853
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Maryellen Rowell, BCBA, LABANPI 1306388855
Title
Ceo/Owner
Phone
(781) 424-0853

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1112 Washington St
Hanover, MA 02339-1675

Mailing address

1112 Washington St
Hanover, MA 02339-1675
Phone (781) 424-0853

National Provider Directory

National Provider Directory

Locations

1112 Washington St
Hanover, MA 02339
Phone (781) 424-0853

1112 Washington St
Ste 12
Hanover, MA 02339

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1396515383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391675",
            "telephone_number": "781-424-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391675",
            "telephone_number": "781-424-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER EARLY ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "ROWELL",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "781-424-0853",
        "authorized_official_credential": "BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.