NPIMap

Organization Active NPI

York Center for Child Development, LLC

  • Behavior Analyst
  • York, ME
National Provider Identifier
1437538428
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-2071
Legal business name
YORK CENTER FOR CHILD DEVELOPMENT, LLC
Practice address
433 US Route 1
Cottage Place, Suite #109 F
York, ME 03909-1659
Phone
(646) 964-7268
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Elisa Hegg, BCBANPI 1619274297
Title
Behavior Analyst / Supervisor
Phone
(617) 448-1053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-04-2071 Primary

Addresses

Primary practice location

433 US Route 1
Cottage Place, Suite #109 F
York, ME 03909-1659

Mailing address

433 US Rte 1
Cottage Place, Suite #109 F
York, ME 03909-5154
Phone (646) 964-7268

National Provider Directory

National Provider Directory

Locations

433 US Route 1
Ste 109
York, ME 03909
Phone (646) 964-7268

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": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1437538428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 US RTE 1",
            "address_2": "COTTAGE PLACE, SUITE #109 F",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095154",
            "telephone_number": "646-964-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 US ROUTE 1",
            "address_2": "COTTAGE PLACE, SUITE #109 F",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091659",
            "telephone_number": "646-964-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK CENTER FOR CHILD DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "HEGG",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST / SUPERVISOR",
        "authorized_official_telephone_number": "617-448-1053",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-04-2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.