Individual provider Active NPI

Jessica Kotulski, M.ED., BCBA

  • Behavior Analyst
  • Chelmsford, MA
National Provider Identifier
1851841506
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
119 Drum Hill Rd
#124
Chelmsford, MA 01824-1505
Phone
(978) 710-6837
NPI assigned
Oct 6, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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 MA Primary

Addresses

Primary practice location

119 Drum Hill Rd
#124
Chelmsford, MA 01824-1505

Mailing address

119 Drum Hill Rd
#124
Chelmsford, MA 01824-1505

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1851841506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DRUM HILL RD",
            "address_2": "#124",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 DRUM HILL RD",
            "address_2": "#124",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241505",
            "telephone_number": "978-710-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTULSKI",
        "first_name": "JESSICA",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.