Stonebridge Behavioral Services
Organization Active NPI Behavior Analyst · Plymouth, MA
NPI 1679829162 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1679829162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-04-1493
- Legal business name
- STONEBRIDGE BEHAVIORAL SERVICES
- Practice address
- 16 Bridge Gate
Plymouth, MA 02360-6377 - Phone
- (508) 287-8692
- Fax
- (508) 591-7886
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Gordon Anthony Defalco, PHD, BCBA-D, LABA
- Title
- Owner/President
- Phone
- (508) 287-8692
Practitioners 28
-
Gordon Anthony Defalco, BCBA-D,PHD,LABA
-
Josh Antuna, BT
-
Taylor Boyle, BCBA
-
Stephanie Elisabeth Daly, BCBA, LABA
-
Ellen F Long, BCBA, LABA
-
Hailey Kathleen McDonough, BEHAVIOR TECHNICIAN
-
Elizabeth Tice, MS BCBA LABA
-
Katie Travers, M.ED
-
Gabrielle Veiga, RBT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-04-1493 | Yes |
Addresses
Primary practice location
16 Bridge Gate
Plymouth, MA 02360-6377
Mailing address
16 Bridge Gate
Plymouth, MA 02360-6377
Phone (508) 287-8692
Other providers in Plymouth, MA
- Aimee Stock
- Princetta Leigh Stockbridge
- Jennifer Lynn Stogryn
- Karli Lynne Stokes
- Ursula B Stone
- Maureen Stratton
- Lauren E Strazzula
- Lisa Stringer
- Cara Strobel
- Christine Strojny
All providers in Plymouth, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.