Active NPI
Stephanie Kane Coplon
- Behavior Analyst
- Wakefield, MA
National Provider Identifier
1841783602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 201
- Practice address
- 607 North Ave Door 11 2ND Floor
Wakefield, MA 01880 - Phone
- (866) 926-4345
- Fax
- (781) 557-5012
- NPI assigned
- Jun 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 201 | MA | Primary |
Addresses
Primary practice location
607 North Ave Door 11 2ND Floor
Wakefield, MA 01880
Mailing address
607 North Ave Door 11 2ND Floor
Wakefield, MA 01880
Phone (866) 926-4345
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 |
|---|---|---|---|
| 201 | MA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1841783602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 NORTH AVE DOOR 11 2ND FLOOR",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "866-926-4345",
"fax_number": "781-557-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 NORTH AVE DOOR 11 2ND FLOOR",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "866-926-4345",
"fax_number": "781-557-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPLON",
"first_name": "STEPHANIE",
"middle_name": "KANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.