Active NPI
Cedrick Simon
- Behavior Technician
- Chelmsford, MA
National Provider Identifier
1700779477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-207427
- Practice address
- 265 Chelmsford St Ste 7
Chelmsford, MA 01824-2335 - Phone
- (603) 321-5175
- Fax
- (978) 418-1081
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- 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 Technician | 106S00000X | RBT-22-207427 | FL | Primary |
Addresses
Primary practice location
265 Chelmsford St Ste 7
Chelmsford, MA 01824-2335
Mailing address
265 Chelmsford St Ste 7
Chelmsford, MA 01824-2335
Phone (603) 321-5175
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 |
|---|---|---|---|
| RBT-22-207427 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1700779477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 CHELMSFORD ST STE 7",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242335",
"telephone_number": "603-321-5175",
"fax_number": "978-418-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 CHELMSFORD ST STE 7",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242335",
"telephone_number": "603-321-5175",
"fax_number": "978-418-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "CEDRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-207427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.