NPIMap

Individual provider Active NPI

Maria E Capuano, BCBA, LABA

  • Behavior Analyst
  • Charlton, MA
National Provider Identifier
1801112933
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-26693 Issued in MA
Practice address
54 Pumpkin LN
Charlton, MA 01507-5216
Phone
(774) 287-3705
Fax
(774) 214-0015
NPI assigned
Apr 14, 2010
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU
Behavior Analyst 103K00000X 1838 MA
Behavior Analyst 103K00000X 1-17-26693 MA Primary

Addresses

Primary practice location

54 Pumpkin LN
Charlton, MA 01507-5216

Mailing address

54 Pumpkin LN
Charlton, MA 01507-5216
Phone (774) 287-3705

Other practice location 1

72 Southbridge Rd
Charlton, MA 01507-5235
Phone (508) 248-6535

Other names 1

  • Maria E Capuano Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality ABA Services LLC Behavior Analyst CurrentSince Aug 15, 2021 Accepting new patients
Innovative Autism Connections, LLC Behavior Analyst PastSince Aug 6, 2019 Accepting new patients
Kids OT Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1801112933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PUMPKIN LN",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075216",
            "telephone_number": "774-287-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PUMPKIN LN",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075216",
            "telephone_number": "774-287-3705",
            "fax_number": "774-214-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Southbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Charlton",
            "state": "MA",
            "postal_code": "015075235",
            "country_code": "US",
            "telephone_number": "508-248-6535",
            "fax_number": "508-248-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPUANO",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1838",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-17-26693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CAPUANO",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.