Active NPI
Kaitlyn Gould
- Behavior Technician
- Burlington, MA
National Provider Identifier
1619531126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 67 S Bedford St Ste 400W
Burlington, MA 01803-5177 - Phone
- (978) 914-5395
- NPI assigned
- Apr 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
67 S Bedford St Ste 400W
Burlington, MA 01803-5177
Mailing address
1 S Charles St
Haverhill, MA 01835-7515
Phone (978) 914-5395
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lowell | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1619531126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S CHARLES ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018357515",
"telephone_number": "978-914-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 S BEDFORD ST STE 400W",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018035177",
"telephone_number": "978-914-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "KAITLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lowell",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "67 S Bedford St Ste 400W",
"city": "Burlington",
"state": "MA",
"country_code": "US",
"postal_code": "018035177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.