Active NPI
Cyndi St George
- Behavior Analyst
- Quincy, MA
National Provider Identifier
1750166518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4151
- Practice address
- 218 Willard St
Quincy, MA 02169-1518 - Phone
- (781) 421-6182
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 4151 | MA | Primary |
Addresses
Primary practice location
218 Willard St
Quincy, MA 02169-1518
Mailing address
45 Pond St
Norwell, MA 02061-1627
Phone (781) 421-6182
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 |
|---|---|---|---|
| 4151 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1750166518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 POND ST",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611627",
"telephone_number": "781-421-6182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 WILLARD ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691518",
"telephone_number": "781-421-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST GEORGE",
"first_name": "CYNDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "4151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.