Madeline Farias, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3027-MH-B1 Issued in MA

Practice address

201 Woodcrest Dr
Chicopee, MA 01020-2043

Phone

(413) 335-4492

NPI assigned

Feb 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Interventions

  • Community/Behavioral Health Agency
  • Windsor, CT
  • NPI 1740688001
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1770021321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIVERDALE ST UNIT 286",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894900",
            "telephone_number": "413-335-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WOODCREST DR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202043",
            "telephone_number": "413-335-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Elm St",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010891782",
            "country_code": "US",
            "telephone_number": "413-734-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Riverdale St Unit 286",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010894900",
            "country_code": "US",
            "telephone_number": "413-335-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARIAS",
        "first_name": "MADELINE",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3027-MH-B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026265E",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.