Active NPI
Trevor Scarboro
- Behavior Analyst
- Providence, RI
National Provider Identifier
1609407782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA00320
- Practice address
- 236 Georgia Ave Suite 110
Providence, RI 02905 - Phone
- (877) 734-7562
- NPI assigned
- Jan 28, 2020
- Sex
- Male
- 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 | LBA00320 | RI | Primary |
Addresses
Primary practice location
236 Georgia Ave Suite 110
Providence, RI 02905
Mailing address
542 Amherst St Ste B
Nashua, NH 03063-1016
Other practice location 1
628 Park Ave
Cranston, RI 02910-2165
Phone (401) 441-5191
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA00320 | RI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1609407782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 AMHERST ST STE B",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 GEORGIA AVE SUITE 110",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02905",
"telephone_number": "877-734-7562"
}
],
"practiceLocations": [
{
"address_1": "628 Park Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029102165",
"country_code": "US",
"telephone_number": "401-441-5191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCARBORO",
"first_name": "TREVOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-28",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "LBA00320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.