Active NPI
Shanay Latrice Durham
- Behavior Technician
- Newton, MA
National Provider Identifier
1508761107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Enter in 109 Oak St Suite G20
Newton, MA 02364 - Phone
- (617) 658-5611
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- 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 Technician | 106S00000X | MA | Primary |
Addresses
Primary practice location
Enter in 109 Oak St Suite G20
Newton, MA 02364
Mailing address
41 Marginal St
Lowell, MA 01851-1203
Phone (978) 932-6295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1508761107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MARGINAL ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511203",
"telephone_number": "978-932-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ENTER IN 109 OAK ST SUITE G20",
"city": "NEWTON",
"state": "MA",
"postal_code": "02364",
"telephone_number": "617-658-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "SHANAY",
"middle_name": "LATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.