Individual provider Active NPI

Emilie Nicole Duggan

  • Behavior Technician
  • Worcester, MA
National Provider Identifier
1801564687
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
106S00000X Issued in MA
Practice address
345A Greenwood St
Worcester, MA 01607-1753
Phone
(508) 363-0200
NPI assigned
Sep 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 106S00000X MA Primary

Addresses

Primary practice location

345A Greenwood St
Worcester, MA 01607-1753

Mailing address

102 Stone School Rd
Sutton, MA 01590-2924
Phone (774) 276-5715

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Irishemilie@outlook.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106S00000XMAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1801564687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 STONE SCHOOL RD",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902924",
            "telephone_number": "774-276-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345A GREENWOOD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071753",
            "telephone_number": "508-363-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "EMILIE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Irishemilie@outlook.com",
            "affiliation": "N",
            "address_1": "102 Stone School Rd",
            "city": "Sutton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015902924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.