Active NPI
Vanessa Myette, M.S, BCBA, LABA
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1558904276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 706
- Practice address
- 1018 Main St
Worcester, MA 01603-2427 - Phone
- (774) 420-7161
- NPI assigned
- Oct 25, 2019
- 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 | 706 | MA | Primary |
Addresses
Primary practice location
1018 Main St
Worcester, MA 01603-2427
Mailing address
275 Medford St Apt 314
Boston, MA 02129-1990
Phone (617) 645-6931
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 |
|---|---|---|---|
| 706 | MA | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1558904276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MEDFORD ST APT 314",
"city": "BOSTON",
"state": "MA",
"postal_code": "021291990",
"telephone_number": "617-645-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 MAIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032427",
"telephone_number": "774-420-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYETTE",
"first_name": "VANESSA",
"credential": "M.S, BCBA, LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.