Maureen Foss, BCBA
Individual provider Active NPI Behavior Analyst · Dover, DE
NPI 1639596174 · NPPES record last updated Apr 30, 2021
Key facts
- NPI
- 1639596174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1325 S State St
Dover, DE 19901-4945 - Phone
- (302) 244-3404
- Fax
- (855) 596-2438
- NPI assigned
- Mar 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000410 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovation Behavior Services, LLC | Current |
Accepting new patients | |
| Rays of Light, LLC | Past | Accepting new patients |
Locations
1474 E Lebanon Rd
Dover, DE 19901
Phone (302) 244-3404
39 Bangor St
Houlton, ME 04730
Phone (207) 521-5230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133000410 | VA | |
| Behavior Analyst | 103K00000X | Yes | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1325 S State St
Dover, DE 19901-4945
Mailing address
39 Bangor St
Houlton, ME 04730-1711
Phone (207) 521-5230
Other practice location 1
39 Bangor St
Houlton, ME 04730-1711
Phone (207) 521-5230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295235448 | Medicaid | DE | |
| 1295235448 | Medicaid | ME |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maureen@innovationaba.com | Direct |
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.