Active NPI
Israel Navarro
- Behavior Analyst
- Pawtucket, RI
National Provider Identifier
1659789980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RN253989
- Practice address
- 103 Bacon St
Pawtucket, RI 02860-5542 - Phone
- (401) 722-3560
- NPI assigned
- Jul 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RN253989 | MA | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN48034 | RI |
Addresses
Primary practice location
103 Bacon St
Pawtucket, RI 02860-5542
Mailing address
54 Pauline St
Dartmouth, MA 02747-3428
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN253989 | MA | MD | Behavioral Analyst |
| RN48034 | RI | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1659789980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 PAULINE ST",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027473428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 BACON ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605542",
"telephone_number": "401-722-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "ISRAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-30",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "RN253989",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "RI",
"license": "RN48034",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.