NPIMap

Organization Active NPI

Northeast Behavioral Associates

  • Specialist
  • Warwick, RI
National Provider Identifier
1790137461
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHEAST BEHAVIORAL ASSOCIATES
Practice address
2348 Post Road
Suite 107
Warwick, RI 02886-2271
Phone
(401) 681-4637
Fax
(401) 681-4675
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Jennifer Nelson, BCBA
Title
Board Certified Behavior Analyst
Phone
(401) 681-4637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2348 Post Road
Suite 107
Warwick, RI 02886-2271

Mailing address

53 Rolens Drive
Apartment A5
Kingston, RI 02881-1746
Phone (860) 705-8049

National Provider Directory

National Provider Directory
Tax ID family
Northeast Behavioral Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1790137461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ROLENS DRIVE",
            "address_2": "APARTMENT A5",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811746",
            "telephone_number": "860-705-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 POST ROAD",
            "address_2": "SUITE 107",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862271",
            "telephone_number": "401-681-4637",
            "fax_number": "401-681-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST BEHAVIORAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "401-681-4637",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.