Mary Caroline Waters, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26281

Practice address

15 Saunders Way Ste 900
Westbrook, ME 04092-4836

Phone

(207) 878-9663

NPI assigned

Jun 27, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598285900",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MARY",
        "middle_name": "CAROLINE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Walsh, PA
• Kathryn Ann Ward, OT
• Audra Elizabeth Young Warren, LCPC-C
• Ashley T Waterman, DC
• Angel M. Waters, FNP, RN
• We Care Home Care
• We Care Residential Services LLC
• Leah C Weaver, MSOTR/L
• Heather Anne Hartshorne Webster, LCSW
• Henry Weinand

• Behavior Analyst in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Behavior Analyst in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.