Active NPI
Green Valley Behavior Analysts, LLC
- Community/Behavioral Health Agency
- Southbridge, MA
National Provider Identifier
1619242658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GREEN VALLEY BEHAVIOR ANALYSTS, LLC
- Practice address
- 687 N Woodstock Rd
Southbridge, MA 01550-2941 - Phone
- (860) 315-0565
- Fax
- (508) 764-1703
- NPI assigned
- Mar 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Weinberg, BCBA
- Title
- Clinical Director; Ceo
- Phone
- (860) 315-0565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
687 N Woodstock Rd
Southbridge, MA 01550-2941
Mailing address
687 N Woodstock Rd
Southbridge, MA 01550-2941
Phone (860) 315-0565
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331164800000",
"number": "1619242658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 N WOODSTOCK RD",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502941",
"telephone_number": "860-315-0565",
"fax_number": "508-764-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 N WOODSTOCK RD",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502941",
"telephone_number": "860-315-0565",
"fax_number": "508-764-1703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN VALLEY BEHAVIOR ANALYSTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CLINICAL DIRECTOR; CEO",
"authorized_official_telephone_number": "860-315-0565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.