Active NPI
Marjorie Jean White, M.A., LABA
- Behavior Analyst
- Holyoke, MA
National Provider Identifier
1609925296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1800
- Practice address
- 40 Bobala Rd
Holyoke, MA 01040-9632 - Phone
- (413) 750-8314
- Fax
- (413) 707-2362
- NPI assigned
- Jan 10, 2007
- 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 | 1800 | MA | Primary |
Addresses
Primary practice location
40 Bobala Rd
Holyoke, MA 01040-9632
Mailing address
40 Bobala Rd
Holyoke, MA 01040-9632
Phone (413) 750-8314
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1800 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1609925296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BOBALA RD",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010409632",
"telephone_number": "413-750-8314",
"fax_number": "413-707-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BOBALA RD",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010409632",
"telephone_number": "413-750-8314",
"fax_number": "413-707-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MARJORIE",
"middle_name": "JEAN",
"credential": "M.A., LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.