Active NPI
Elisha Farley
- Behavior Technician
- Andover, MA
National Provider Identifier
1831601400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 100 Woodview Way Apt 1124
Andover, MA 01810-4575 - Phone
- (864) 608-0458
- NPI assigned
- Nov 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
100 Woodview Way Apt 1124
Andover, MA 01810-4575
Mailing address
100 Woodview Way Apt 1124
Andover, MA 01810-4575
Phone (864) 608-0458
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1831601400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODVIEW WAY APT 1124",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104575",
"telephone_number": "864-608-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODVIEW WAY APT 1124",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104575",
"telephone_number": "864-608-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "ELISHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.