Active NPI
Rachel Smith, BEHAVIOR ANALYST BA
- Behavior Analyst
- Marstons Mills, MA
National Provider Identifier
1619391992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- S70685554
- Practice address
- 92 Cranberry Ridge Rd
Marstons Mills, MA 02648-1309 - Phone
- (774) 487-7144
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | S70685554 | MA | Primary |
Addresses
Primary practice location
92 Cranberry Ridge Rd
Marstons Mills, MA 02648-1309
Mailing address
92 Cranberry Ridge Rd
Marstons Mills, MA 02648-1309
Phone (774) 487-7144
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 |
|---|---|---|---|
| S70685554 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465603200000",
"number": "1619391992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 CRANBERRY RIDGE RD",
"city": "MARSTONS MILLS",
"state": "MA",
"postal_code": "026481309",
"telephone_number": "774-487-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 CRANBERRY RIDGE RD",
"city": "MARSTONS MILLS",
"state": "MA",
"postal_code": "026481309",
"telephone_number": "774-487-7144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RACHEL",
"credential": "BEHAVIOR ANALYST BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2016-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "S70685554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marstons Mills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.