Active NPI
Brian Jadro, M.A., BCBA
- Behavior Analyst
- Waltham, MA
National Provider Identifier
1427488683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 315
- Practice address
- 303 Wyman St
Waltham, MA 02451-1208 - Phone
- (781) 548-1744
- NPI assigned
- Nov 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 315 | MA | Primary |
Addresses
Primary practice location
303 Wyman St
Waltham, MA 02451-1208
Mailing address
149 Walpole St
Norwood, MA 02062-3228
Phone (908) 296-5611
Other practice location 1
735 3rd St SW
Perham, MN 56573-1152
Phone (605) 271-2690
Other practice location 2
3721 23rd St S Ste 201
Saint Cloud, MN 56301-6199
Phone (605) 271-2690
Other practice location 3
1704 Westland Rd
Cheyenne, WY 82001-3322
Phone (605) 271-2690
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1427488683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 WALPOLE ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623228",
"telephone_number": "908-296-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 WYMAN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511208",
"telephone_number": "781-548-1744"
}
],
"practiceLocations": [
{
"address_1": "735 3rd St SW",
"address_purpose": "LOCATION",
"city": "Perham",
"state": "MN",
"postal_code": "565731152",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3721 23rd St S Ste 201",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563016199",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1704 Westland Rd",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820013322",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JADRO",
"first_name": "BRIAN",
"credential": "M.A., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-25",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.