Individual provider Active NPI

Stephanie Spicuzza

  • Behavior Analyst
  • Seekonk, MA
National Provider Identifier
1659802700
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2706 Issued in MA
Practice address
1573 Fall River Ave
Seekonk, MA 02771-3740
Phone
(508) 216-0116
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2706 MA Primary

Addresses

Primary practice location

1573 Fall River Ave
Seekonk, MA 02771-3740

Mailing address

1573 Fall River Ave
Seekonk, MA 02771-3740

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

LicenseStateTypeSpecialty
2706MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Synergy Corporation Behavior Analyst CurrentSince Jul 21, 2024 Accepting new patients
Positive Synergy Corporation PastSince Jul 21, 2024 Accepting new patients

Locations

1573 Fall River Ave
Seekonk, MA 02771
Phone (508) 216-0116

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1659802700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027713740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027713740",
            "telephone_number": "508-216-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICUZZA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.