Individual provider Active NPI

Daniel Frost, BCBA

  • Behavior Analyst
  • Westbrook, ME
National Provider Identifier
1508359357
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29904
Practice address
15 Saunders Way Ste 900
Westbrook, ME 04092-4836
Phone
(207) 878-9663
Fax
(207) 878-2259
NPI assigned
Jun 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-29904 Primary

Addresses

Primary practice location

15 Saunders Way Ste 900
Westbrook, ME 04092-4836

Mailing address

15 Saunders Way Ste 900
Westbrook, ME 04092-4836
Phone (207) 878-9663

Other identifiers 1

IdentifierTypeStateIssuer
1-18-29904OtherBCBA BOARD

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1508359357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY STE 900",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924836",
            "telephone_number": "207-878-9663",
            "fax_number": "207-878-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY STE 900",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924836",
            "telephone_number": "207-878-9663",
            "fax_number": "207-878-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "DANIEL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-29904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA BOARD",
            "identifier": "1-18-29904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.