Active NPI
Julie A Worthen, BCBA
- Behavior Analyst
- Brookline, MA
National Provider Identifier
1427711548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LABA3769
- Practice address
- 1318 Beacon St Ste 18
Brookline, MA 02446-3793 - Phone
- (844) 222-4513
- NPI assigned
- Oct 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-49961 | ||
| Behavior Analyst | 103K00000X | LABA3769 | MA | Primary |
Addresses
Primary practice location
1318 Beacon St Ste 18
Brookline, MA 02446-3793
Mailing address
1318 Beacon St Ste 18
Brookline, MA 02446-3793
Phone (844) 222-4513
Other practice location 1
31 Hiller Rd
Rochester, MA 02770-4024
Phone (774) 454-1994
Other practice location 2
105 Hms Stayner Dr
Hingham, MA 02043-1664
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
| License | State | Type | Specialty |
|---|---|---|---|
| LABA3769 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway ABA Therapy LLC | Behavior Analyst | Current | Accepting new patients |
| Greater Boston ABA Associates | Behavior Analyst | Past | Accepting new patients |
| Reach Educational Services, Inc | Behavior Analyst | Past | Accepting new patients |
Locations
53 Marion Rd
Unit 2
Wareham, MA 02571
Phone (774) 454-1994
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 and National Provider Directory roles.
-
- Behavior Analyst
- Rochester, MA
- NPI 1952924771
-
- Behavior Analyst
- Hingham, MA
- NPI 1982192597
-
- Behavior Analyst
- East Sandwich, MA
- NPI 1992161699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1427711548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 BEACON ST STE 18",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463793",
"telephone_number": "844-222-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 BEACON ST STE 18",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463793",
"telephone_number": "844-222-4513"
}
],
"practiceLocations": [
{
"address_1": "31 Hiller Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MA",
"postal_code": "027704024",
"country_code": "US",
"telephone_number": "774-454-1994",
"fax_number": "508-273-2353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Hms Stayner Dr",
"address_purpose": "LOCATION",
"city": "Hingham",
"state": "MA",
"postal_code": "020431664",
"country_code": "US",
"telephone_number": "617-957-6451",
"fax_number": "781-385-7324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORTHEN",
"first_name": "JULIE",
"middle_name": "A",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-15",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-49961",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "LABA3769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.