Kate-Lynn Breault Clancy, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LABA3634 Issued in MA

Practice address

105 HMS Stayner Dr
Hingham, MA 02043-1664

Phone

(617) 957-6451

Fax

(781) 385-7324

NPI assigned

Jan 13, 2016

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kate-Lynn Breault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Boston ABA Associates

  • Behavior Analyst
  • Hingham, MA
  • NPI 1982192597
  NPD
• Modern Steps ABA LLC

  • Behavior Analyst
  • Woodbridge, VA
  • NPI 1881424091
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1659737104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HMS STAYNER DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431664",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HMS STAYNER DR",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431664",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "KATE-LYNN",
        "middle_name": "BREAULT",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "LABA3634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE-LYNN",
            "last_name": "BREAULT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yijun Chen, BCBA, LABA
• Rachel Chernik
• Chester Zarnoch (South Suburban Ophthalmology)
• Christopher W. Rynne MD PC
• Rachel Ciccarello, OT
• Kate Clapp, LMHC
• Clara a Berry SLP LLC (Clara Berry)
• Katherine Mary Clare
• Christine Clark, PHARMD
• Michaela Marie Clark, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.