Active NPI
Lydia Dorey
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1639987340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-45829
- Practice address
- 18 John Street PL
Worcester, MA 01609-2698 - Phone
- (508) 926-8777
- NPI assigned
- Dec 27, 2024
- Last updated
- Dec 27, 2024
- 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 Analyst | 103K00000X | 1-20-45829 | Primary |
Addresses
Primary practice location
18 John Street PL
Worcester, MA 01609-2698
Mailing address
55 King St
Littleton, MA 01460-1528
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": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1639987340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 KING ST",
"city": "LITTLETON",
"state": "MA",
"postal_code": "014601528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 JOHN STREET PL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092698",
"telephone_number": "508-926-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOREY",
"first_name": "LYDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-20-45829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.