Active NPI
Futures Clinic, Inc.
- Behavior Analyst
- Beverly, MA
National Provider Identifier
1639435241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- FUTURES CLINIC, INC.
- Practice address
- 55 Tozer Rd
Beverly, MA 01915-5515 - Phone
- (978) 993-8096
- Fax
- (978) 969-3021
- NPI assigned
- Apr 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Larsen, BCBA
- Title
- Director
- Phone
- (978) 993-8096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
55 Tozer Rd
Beverly, MA 01915-5515
Mailing address
55 Tozer Rd
Beverly, MA 01915-5515
Phone (978) 993-8096
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333929600000",
"number": "1639435241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 TOZER RD",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155515",
"telephone_number": "978-993-8096",
"fax_number": "978-969-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 TOZER RD",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155515",
"telephone_number": "978-993-8096",
"fax_number": "978-969-3021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUTURES CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "978-993-8096",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.