Active NPI
Kaitlyn Simonds, BCBA, LABA, MS
- Behavior Analyst
- Newton Upper Falls, MA
National Provider Identifier
1508472861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3206-MH-B1
- Practice address
- 193 Oak St Ste 1
Newton Upper Falls, MA 02464-1453 - Phone
- (617) 658-5611
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3206-MH-B1 | MA | Primary |
Addresses
Primary practice location
193 Oak St Ste 1
Newton Upper Falls, MA 02464-1453
Mailing address
1480 Commonwealth Ave Apt 4
Brighton, MA 02135-4528
Phone (207) 608-9647
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3206-MH-B1 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1508472861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 COMMONWEALTH AVE APT 4",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021354528",
"telephone_number": "207-608-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 OAK ST STE 1",
"city": "NEWTON UPPER FALLS",
"state": "MA",
"postal_code": "024641453",
"telephone_number": "617-658-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONDS",
"first_name": "KAITLYN",
"credential": "BCBA, LABA, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "3206-MH-B1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Upper Falls, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.