Organization Active NPI

Phase One Behavioral Solutions, LLC

  • Behavior Analyst
  • Shrewsbury, MA
National Provider Identifier
1821618075
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PHASE ONE BEHAVIORAL SOLUTIONS, LLC
Practice address
10304 Arbor Dr
Shrewsbury, MA 01545-6042
Phone
(774) 230-1934
NPI assigned
Apr 17, 2020
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Kristen Bianchi
Title
Bcba, Laba, Owener
Phone
(774) 230-1934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

10304 Arbor Dr
Shrewsbury, MA 01545-6042

Mailing address

10304 Arbor Dr
Shrewsbury, MA 01545-6042
Phone (774) 230-1934

Other names 1

  • Phase One Solutions, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1821618075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 ARBOR DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456042",
            "telephone_number": "774-230-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 ARBOR DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456042",
            "telephone_number": "774-230-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE ONE BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BIANCHI",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "BCBA, LABA, OWENER",
        "authorized_official_telephone_number": "774-230-1934"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phase One Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Phase One Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.