Individual provider Active NPI

Laura Desrosiers, BCBA, LABA

  • Behavior Analyst
  • Duxbury, MA
National Provider Identifier
1821552118
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2573 Issued in MA
Practice address
424 Autumn Ave
Duxbury, MA 02332-4621
Phone
(508) 789-9323
Fax
(508) 290-0783
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2573 MA Primary

Addresses

Primary practice location

424 Autumn Ave
Duxbury, MA 02332-4621

Mailing address

424 Autumn Ave
Duxbury, MA 02332-4621
Phone (508) 789-9323

Other practice location 1

18 Cottage St
Medfield, MA 02052
Phone (508) 688-4695

Other practice location 2

18 Cottage St
Medfield, MA 02052
Phone (508) 688-4695

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
2573MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Playful Place for All, LLC. Behavior Analyst CurrentSince Mar 11, 2025 Accepting new patients

Locations

462 Plain St
Ste 103
Marshfield, MA 02050
Phone (781) 837-3700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1821552118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 AUTUMN AVE",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324621",
            "telephone_number": "508-789-9323",
            "fax_number": "508-290-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 AUTUMN AVE",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324621",
            "telephone_number": "508-789-9323",
            "fax_number": "508-290-0783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Cottage St",
            "address_purpose": "LOCATION",
            "city": "Medfield",
            "state": "MA",
            "postal_code": "02052",
            "country_code": "US",
            "telephone_number": "508-688-4695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Cottage St",
            "address_purpose": "LOCATION",
            "city": "Medfield",
            "state": "MA",
            "postal_code": "02052",
            "country_code": "US",
            "telephone_number": "508-688-4695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "LAURA",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.