Kelley Marie Poitras

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

510 Issued in MA

Practice address

122 Grove St
Franklin, MA 02038-2180

Phone

(508) 455-6208

NPI assigned

Jan 20, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1780006171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "SOUTH WALPOLE",
            "state": "MA",
            "postal_code": "020710092",
            "telephone_number": "508-369-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GROVE ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382180",
            "telephone_number": "508-455-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITRAS",
        "first_name": "KELLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Pircher, MA
• Laurie Ann Pirrello
• Carol-Anne Piso, L.I.C.S.W.
• Michael Pithis, LICSW
• Anne McKee Pohnert, FNP
• Polaris Family Medicine PLLC
• Pond Street Medical Clinic LLC
• Becki Power-Brown, LCSW
• Nicole Power
• Margaret Preissler, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.