Organization Active NPI

Green Valley Behavior Analysts, LLC

  • Community/Behavioral Health Agency
  • Southbridge, MA
National Provider Identifier
1619242658
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Mar 8, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.