Boston Behavior Services Education and Treatment

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1910 Issued in MA

Legal business name

BOSTON BEHAVIOR SERVICES EDUCATION AND TREATMENT

Practice address

62 Saint Rose St # 3
Boston, MA 02130-3956

Phone

(336) 416-8266

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Catherine Coyle Debroder, M.S., BCBA, LABANPI 1063818821

Title

Founder, Owner

Phone

(336) 416-8266

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Debroder, BCBA

  • Behavior Analyst
  • Winston Salem, NC
  • NPI 1063818821
  Authorized official Same address or phone

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1619482668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SAINT ROSE ST # 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303956",
            "telephone_number": "336-416-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SAINT ROSE ST # 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303956",
            "telephone_number": "336-416-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON BEHAVIOR SERVICES EDUCATION AND TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "DEBRODER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "COYLE",
        "authorized_official_title_or_position": "FOUNDER, OWNER",
        "authorized_official_telephone_number": "336-416-8266",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.