Individual provider Active NPI

Yijun Chen, BCBA, LABA

  • Behavior Analyst
  • Hingham, MA
National Provider Identifier
1407343783
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2836 Issued in MA
Practice address
105 HMS Stayner Dr
Hingham, MA 02043-1664
Phone
(617) 957-6451
Fax
(781) 385-7324
NPI assigned
Apr 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 2836 MA Primary

Addresses

Primary practice location

105 HMS Stayner Dr
Hingham, MA 02043-1664

Mailing address

105 HMS Stayner Dr
Hingham, MA 02043-1664
Phone (617) 957-6451

Other practice location 1

130 Liberty St Ste 13A
Brockton, MA 02301-7511
Phone (617) 957-6451

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

State licenses

LicenseStateTypeSpecialty
2836MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Boston ABA Associates Behavior Analyst CurrentSince Nov 1, 2019 Accepting new patients
Vanguard Growth Alliance LLC Behavior Technician Current Accepting new patients
Innovative Autism Connections, LLC Behavior Analyst Past Accepting new patients

Locations

130 Liberty St
Ste 13A
Brockton, MA 02301
Phone (617) 957-6451

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1407343783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HMS STAYNER DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431664",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HMS STAYNER DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431664",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Liberty St Ste 13A",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023017511",
            "country_code": "US",
            "telephone_number": "617-957-6451",
            "fax_number": "508-857-5893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YIJUN",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.