Active NPI
Jennifer Nelson, MED, BCBA, LBA
- Behavior Analyst
- Norwell, MA
National Provider Identifier
1457889248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56625
- Practice address
- 70 Accord Park Dr
Norwell, MA 02061-1606 - Phone
- (781) 414-5940
- NPI assigned
- May 24, 2017
- Last updated
- Oct 5, 2026
- Sex
- Female
- 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 | 1-21-56625 | MA | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
70 Accord Park Dr
Norwell, MA 02061-1606
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other practice location 1
4389 NE 343 Highway
Old Town, FL 32680
Phone (325) 617-3812
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106E00000X | Medicaid | FL | |
| LABA10002051 | Other | MA | MASSACHUSETTS STATE LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1457889248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 ACCORD PARK DR",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611606",
"telephone_number": "781-414-5940"
}
],
"practiceLocations": [
{
"address_1": "4389 NE 343 Highway",
"address_purpose": "LOCATION",
"city": "Old Town",
"state": "FL",
"postal_code": "32680",
"country_code": "US",
"telephone_number": "325-617-3812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "JENNIFER",
"credential": "MED, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-21-56625",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106E00000X",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS STATE LICENSE NUMBER",
"identifier": "LABA10002051",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.