Active NPI
Molly Clare Koon
- Behavior Analyst
- Londonderry, NH
National Provider Identifier
1679183842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB385472
- Practice address
- 10 Mohawk Dr
Londonderry, NH 03053-3757 - Phone
- (603) 260-6167
- Fax
- (603) 260-6168
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 | BACB385472 | NH | Primary |
Addresses
Primary practice location
10 Mohawk Dr
Londonderry, NH 03053-3757
Mailing address
10 Mohawk Dr
Londonderry, NH 03053-3757
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 |
|---|---|---|---|
| BACB385472 | NH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1679183842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MOHAWK DR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MOHAWK DR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533757",
"telephone_number": "603-260-6167",
"fax_number": "603-260-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOON",
"first_name": "MOLLY",
"middle_name": "CLARE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NH",
"license": "BACB385472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.