Nicole Lynne Doutre, MS, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59363 Issued in MA

Practice address

15 South St
Suite B
Hudson, MA 01749-2205

Phone

(508) 298-1640

NPI assigned

May 30, 2012

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1881955581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PERRY AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032417",
            "telephone_number": "508-455-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTH ST",
            "address_2": "SUITE B",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492205",
            "telephone_number": "508-298-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTRE",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "MS, BCBA, LABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-22-59363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Hudson, MA
• Providers in Hudson, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.