Individual provider Active NPI

Amanda Bennett, BEHAVIOR ANALYST

  • Behavior Analyst
  • Milford, MA
National Provider Identifier
1497924948
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2422 Issued in MA
Practice address
300 E Main St
Milford, MA 01757-2806
Phone
(508) 473-3422
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 2422 MA Primary

Addresses

Primary practice location

300 E Main St
Milford, MA 01757-2806

Mailing address

300 E Main St Ste 200
Milford, MA 01757-2806
Phone (508) 478-2027

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon ABA Services, Inc. CurrentSince Aug 11, 2024 Accepting new patients
The May Institute, Inc Past Accepting new patients
The May Institute, Inc Behavior Analyst Past Accepting new patients

Locations

300 E Main St
Ste 200
Milford, MA 01757
Phone (508) 473-3422

300 E Main St
Milford, MA 01757
Phone (508) 473-3422

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1497924948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 200",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572806",
            "telephone_number": "508-478-2027",
            "fax_number": "508-634-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572806",
            "telephone_number": "508-473-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "AMANDA",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.