Active NPI
Candace Fugazy
- Behavior Analyst
- Barre, VT
National Provider Identifier
1831552330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-04-1523
- Practice address
- 579 S Barre Rd
Barre, VT 05641-8107 - Phone
- (802) 476-1480
- Fax
- (802) 479-4095
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133001483 | VA | |
| Behavior Analyst | 103K00000X | 1-04-1523 | VT | Primary |
Addresses
Primary practice location
579 S Barre Rd
Barre, VT 05641-8107
Mailing address
579 S Barre Rd
Barre, VT 05641-8107
Phone (802) 476-1480
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0133001483 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1831552330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 S BARRE RD",
"city": "BARRE",
"state": "VT",
"postal_code": "056418107",
"telephone_number": "802-476-1480",
"fax_number": "802-479-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 S BARRE RD",
"city": "BARRE",
"state": "VT",
"postal_code": "056418107",
"telephone_number": "802-476-1480",
"fax_number": "802-479-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGAZY",
"first_name": "CANDACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001483",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VT",
"license": "1-04-1523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.