Julianne Mackinnon, M.ED, ED.S, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB236895 Issued in MA

Practice address

77 Calypso LN
Marshfield, MA 02050-3601

Phone

(508) 847-5730

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Spectrum Care, LLC

  • Behavior Analyst
  • Marshfield, MA
  • NPI 1578295689
  NPD Authorized official
• Shindigz Parties LLC

  • Behavior Analyst
  • Pembroke, MA
  • NPI 1306499181
  NPD (past) Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1619320124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALYPSO LANE",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "02050",
            "telephone_number": "508-847-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALYPSO LN",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503601",
            "telephone_number": "508-847-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "JULIANNE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, ED.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "BACB236895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren A Lyons, RDH
• M. Estelle Spike & Associates, Inc.
• Yvonne Maalouf
• Patricia A Mackey, RPH
• Ann Marie D Mackinnon, LICSW
• Jennifer Marie Macmullen
• Philip Mahar
• Christine Mahoney, LICSW
• Mark NMN Manning, M.S.
• Mark Melevsky DMD PC

• Behavior Analyst in Marshfield, MA
• Providers in Marshfield, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.