Active NPI
Ariel Tetreault, BCBA
- Behavior Analyst
- Beverly, MA
National Provider Identifier
1407204902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18223
- Practice address
- 100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127 - Phone
- (978) 927-0172
- Fax
- (978) 927-0179
- NPI assigned
- May 25, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-18223 | NH | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127
Mailing address
149 Broad St
Hollis, NH 03049-6028
Phone (603) 860-3660
Other practice location 1
149 Broad St
Hollis, NH 03049-6028
Phone (603) 860-3660
Other names 1
- Ariel Ferguson
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Therapy Group, LLC. | Behavior Analyst | Current | Accepting new patients |
| The Verbal ABA Clinic, LLC | Behavior Analyst | Past | Accepting new patients |
Locations
100 Cummings Ctr
Ste 135H
Beverly, MA 01915
Phone (978) 927-0172
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": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1407204902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 BROAD ST",
"city": "HOLLIS",
"state": "NH",
"postal_code": "030496028",
"telephone_number": "603-860-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 135H",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156127",
"telephone_number": "978-927-0172",
"fax_number": "978-927-0179"
}
],
"practiceLocations": [
{
"address_1": "149 Broad St",
"address_purpose": "LOCATION",
"city": "Hollis",
"state": "NH",
"postal_code": "030496028",
"country_code": "US",
"telephone_number": "603-860-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TETREAULT",
"first_name": "ARIEL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NH",
"license": "1-15-18223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ARIEL",
"last_name": "FERGUSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beverly, MA
- Christine Cierra Tentindo, MD
- Mark Joseph Ternullo, PSY. D
- Tricia Mary Terpolilli, LICSW
- Therasa L. Terrazzano, LICSW
- Deborah Tetrault, M.ED.
- The Artful Life Counseling Center and Studio
- The Beverly Center, P.C.
- The Freedom Wellness Group, Inc (Elements Therapeutic Massage Beverly)
- The Verbal ABA Clinic, LLC (Speech Therapy Group)
- Therapy for Intentional Living, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.