Jill Langlois, MSED., BCBA

Individual provider Active NPI Behavior Analyst · Oakham, MA

NPI 1447554142 · NPPES record last updated Jan 10, 2011

Key facts

NPI
1447554142
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-05-2305 (MA)
Practice address
175 Hunt Rd
Oakham, MA 01068-9774
Phone
(508) 331-9291
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-05-2305 MA Yes

Addresses

Primary practice location

175 Hunt Rd
Oakham, MA 01068-9774

Mailing address

175 Hunt Rd
Oakham, MA 01068-9774
Phone (508) 331-9291

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2011.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1447554142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HUNT RD",
            "city": "OAKHAM",
            "state": "MA",
            "postal_code": "010689774",
            "telephone_number": "508-331-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HUNT RD",
            "city": "OAKHAM",
            "state": "MA",
            "postal_code": "010689774",
            "telephone_number": "508-331-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLOIS",
        "first_name": "JILL",
        "credential": "MSED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-05-2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakham, MA

All providers in Oakham, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.