Elise Devilly, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1563 Issued in MA

Practice address

80 Washington St Ste P55
Norwell, MA 02061-1742

Phone

(781) 290-3886

NPI assigned

May 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elise Walton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Proven Behavior Solutions, LLC

  dba Proven Autism Therapies

  • Speech-Language Pathologist
  • Norwell, MA
  • NPI 1720561921
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1659782035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE P55",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611742",
            "telephone_number": "781-290-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE P55",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611742",
            "telephone_number": "781-290-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Fortune Blvd",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017571750",
            "country_code": "US",
            "telephone_number": "508-478-0207",
            "fax_number": "508-634-6984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVILLY",
        "first_name": "ELISE",
        "name_prefix": "Miss",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "WALTON",
            "credential": "BCBA, LABA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Desantis, RPH
• Lindsey Deslauriers
• Bruna Desouza Silveira, APRN
• Tracy L Deveau, PSYD
• Lori V. Devereaux, FNP-BC
• Caiyelle Dias
• Frank Dicataldo
• Lydia A Dickey, MS MFT
• Makayla Dillingham
• Alexa Dimestico

• Behavior Analyst in Norwell, MA
• Providers in Norwell, 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 19, 2020; 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.