Active NPI
Bailey Elizabeth Vanderwarker
- Behavior Analyst
- Fiskdale, MA
National Provider Identifier
1720995152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- OTHER
- Practice address
- 12 Laflamme LN
Fiskdale, MA 01518-1108 - Phone
- (413) 321-9533
- NPI assigned
- Aug 24, 2026
- 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 | OTHER | MA | Primary |
Addresses
Primary practice location
12 Laflamme LN
Fiskdale, MA 01518-1108
Mailing address
12 Laflamme LN
Fiskdale, MA 01518-1108
Phone (413) 321-9533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1720995152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LAFLAMME LN",
"city": "FISKDALE",
"state": "MA",
"postal_code": "015181108",
"telephone_number": "413-321-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LAFLAMME LN",
"city": "FISKDALE",
"state": "MA",
"postal_code": "015181108",
"telephone_number": "413-321-9533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERWARKER",
"first_name": "BAILEY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "OTHER",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fiskdale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.