Reece Center Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

282 Issued in MA

Legal business name

REECE CENTER THERAPY, LLC

Practice address

364 Boston Tpke
Shrewsbury, MA 01545-3869

Phone

(508) 925-0083

Fax

(508) 848-0925

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Goodwin, MA, BCBA, LABANPI 1538463286

Title

Owner

Phone

(508) 925-0083

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Stone Goodwin, MA, BCBA, LABA

  • Behavior Analyst
  • Shrewsbury, MA
  • NPI 1538463286
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1750740890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453869",
            "telephone_number": "508-925-0083",
            "fax_number": "508-848-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453869",
            "telephone_number": "508-925-0083",
            "fax_number": "508-848-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REECE CENTER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-925-0083",
        "authorized_official_credential": "MA, BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.