Christina D'Amour

Individual provider Active NPI Behavior Technician · Pembroke, MA

NPI 1477348753 · NPPES record last updated Apr 9, 2025

Key facts

NPI
1477348753
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
20 Winter St
Pembroke, MA 02359-4965
Phone
(508) 287-8692
Fax
(508) 591-7886
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebridge Behavioral Services Past
since Apr 13, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

20 Winter St
Pembroke, MA 02359-4965

Mailing address

20 Winter St
Pembroke, MA 02359-4965
Phone (508) 287-8692

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2025.

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1477348753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINTER ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594965",
            "telephone_number": "508-287-8692",
            "fax_number": "508-591-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WINTER ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594965",
            "telephone_number": "508-287-8692",
            "fax_number": "508-591-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMOUR",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

All providers in Pembroke, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.